Provider Demographics
NPI:1760612881
Name:BUCKS COUNTY CENTER FOR INDEPENDENT LIVING
Entity Type:Organization
Organization Name:BUCKS COUNTY CENTER FOR INDEPENDENT LIVING
Other - Org Name:CILBC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:E
Authorized Official - Last Name:YASKOWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-781-5075
Mailing Address - Street 1:1226 VETERANS HWY
Mailing Address - Street 2:BOX 820
Mailing Address - City:BRISTOL
Mailing Address - State:PA
Mailing Address - Zip Code:19007-7500
Mailing Address - Country:US
Mailing Address - Phone:215-781-5070
Mailing Address - Fax:215-781-5080
Practice Address - Street 1:1226 VETERANS HWY
Practice Address - Street 2:BOX 820
Practice Address - City:BRISTOL
Practice Address - State:PA
Practice Address - Zip Code:19007-7500
Practice Address - Country:US
Practice Address - Phone:215-781-5070
Practice Address - Fax:215-781-5080
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-23
Last Update Date:2009-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management