Provider Demographics
NPI:1023289147
Name:PHI LIFE
Entity type:Organization
Organization Name:PHI LIFE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACCOUNTING MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHRISSI
Authorized Official - Middle Name:
Authorized Official - Last Name:GERBIG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-303-4924
Mailing Address - Street 1:1217 SLATE HILL RD
Mailing Address - Street 2:
Mailing Address - City:CAMP HILL
Mailing Address - State:PA
Mailing Address - Zip Code:17011-8012
Mailing Address - Country:US
Mailing Address - Phone:717-303-4924
Mailing Address - Fax:
Practice Address - Street 1:1217 SLATE HILL RD
Practice Address - Street 2:
Practice Address - City:CAMP HILL
Practice Address - State:PA
Practice Address - Zip Code:17011-8012
Practice Address - Country:US
Practice Address - Phone:717-303-4924
Practice Address - Fax:717-737-6763
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PHI
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-03-17
Last Update Date:2008-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251T00000XAgenciesProgram of All-Inclusive Care for the Elderly (PACE) Provider Organization