Provider Demographics
NPI:1184600694
Name:RICHARD J CARON FOUNDATION
Entity type:Organization
Organization Name:RICHARD J CARON FOUNDATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SR DR PATIENT FINANCIAL SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:J
Authorized Official - Last Name:CURRENT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-743-6141
Mailing Address - Street 1:PO BOX 150
Mailing Address - Street 2:GALEN HALL RD
Mailing Address - City:WERNERSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19565-0150
Mailing Address - Country:US
Mailing Address - Phone:610-678-2332
Mailing Address - Fax:
Practice Address - Street 1:243 N GALEN HALL RD
Practice Address - Street 2:
Practice Address - City:WERNERSVILLE
Practice Address - State:PA
Practice Address - Zip Code:19565-9331
Practice Address - Country:US
Practice Address - Phone:610-678-2332
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-16
Last Update Date:2022-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA062621324500000X
PA062041324500000X
PA067049324500000X
PA067024324500000X
PA067036324500000X
PA067065324500000X
PA067078324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility