Provider Demographics
NPI:1760696868
Name:ADVANCE LANE TRAINING AND EMPLOYMENT CORPORATION
Entity Type:Organization
Organization Name:ADVANCE LANE TRAINING AND EMPLOYMENT CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DEB
Authorized Official - Middle Name:
Authorized Official - Last Name:KUNSCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-822-6417
Mailing Address - Street 1:3151 ADVANCE LANE
Mailing Address - Street 2:
Mailing Address - City:COLMAR
Mailing Address - State:PA
Mailing Address - Zip Code:18915-9767
Mailing Address - Country:US
Mailing Address - Phone:215-822-6417
Mailing Address - Fax:215-822-6397
Practice Address - Street 1:3151 ADVANCE LANE
Practice Address - Street 2:
Practice Address - City:COLMAR
Practice Address - State:PA
Practice Address - Zip Code:18915-9767
Practice Address - Country:US
Practice Address - Phone:215-822-6417
Practice Address - Fax:215-822-6397
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
0990003470000OtherPROMISE PROVIDER