Provider Demographics
NPI:1851755706
Name:HOLY REDEEMER DALE ZIPLEY HOMES FOR INDEPENDENT ADULTS
Entity Type:Organization
Organization Name:HOLY REDEEMER DALE ZIPLEY HOMES FOR INDEPENDENT ADULTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:COLLINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-205-6774
Mailing Address - Street 1:667 WELSH RD
Mailing Address - Street 2:
Mailing Address - City:HUNTINGDON VALLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19006-6309
Mailing Address - Country:US
Mailing Address - Phone:267-205-6774
Mailing Address - Fax:
Practice Address - Street 1:667 WELSH RD
Practice Address - Street 2:
Practice Address - City:HUNTINGDON VALLEY
Practice Address - State:PA
Practice Address - Zip Code:19006-6309
Practice Address - Country:US
Practice Address - Phone:267-205-6774
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-07
Last Update Date:2016-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care