Provider Demographics
NPI:1942460175
Name:LAUREL HIGHLANDS FOUNDATION, INC
Entity Type:Organization
Organization Name:LAUREL HIGHLANDS FOUNDATION, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HCSIS COORDINATOR/QUALITY SPECIALIS
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:S
Authorized Official - Last Name:HOUGH
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:412-825-9141
Mailing Address - Street 1:1000 JACKS RUN RD
Mailing Address - Street 2:
Mailing Address - City:NORTH VERSAILLES
Mailing Address - State:PA
Mailing Address - Zip Code:15137-2744
Mailing Address - Country:US
Mailing Address - Phone:412-825-9141
Mailing Address - Fax:412-825-9456
Practice Address - Street 1:1000 JACKS RUN RD
Practice Address - Street 2:
Practice Address - City:NORTH VERSAILLES
Practice Address - State:PA
Practice Address - Zip Code:15137-2744
Practice Address - Country:US
Practice Address - Phone:412-825-9141
Practice Address - Fax:412-825-9456
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-11
Last Update Date:2008-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health