Provider Demographics
NPI:1336261361
Name:PHOENIX SERVICES, INC.
Entity Type:Organization
Organization Name:PHOENIX SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DEVIN
Authorized Official - Middle Name:P
Authorized Official - Last Name:MCFERREN
Authorized Official - Suffix:
Authorized Official - Credentials:MED
Authorized Official - Phone:717-228-0400
Mailing Address - Street 1:1655 VALLEY CENTER PKWY
Mailing Address - Street 2:SUITE 150
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18017-2293
Mailing Address - Country:US
Mailing Address - Phone:484-893-5050
Mailing Address - Fax:484-893-5051
Practice Address - Street 1:221 W PENN AVE
Practice Address - Street 2:
Practice Address - City:CLEONA
Practice Address - State:PA
Practice Address - Zip Code:17042-3230
Practice Address - Country:US
Practice Address - Phone:717-228-0400
Practice Address - Fax:717-228-3929
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA305510251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services