Provider Demographics
NPI:1669293189
Name:PENNA ASSOCIATION FOR THE BLIND CHESTER COUNTY BRANCH INC
Entity type:Organization
Organization Name:PENNA ASSOCIATION FOR THE BLIND CHESTER COUNTY BRANCH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TRACEY
Authorized Official - Middle Name:
Authorized Official - Last Name:MELIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-384-2767
Mailing Address - Street 1:71 S 1ST AVE
Mailing Address - Street 2:
Mailing Address - City:COATESVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19320-3461
Mailing Address - Country:US
Mailing Address - Phone:610-384-2767
Mailing Address - Fax:484-657-7578
Practice Address - Street 1:71 S 1ST AVE
Practice Address - Street 2:
Practice Address - City:COATESVILLE
Practice Address - State:PA
Practice Address - Zip Code:19320-3461
Practice Address - Country:US
Practice Address - Phone:610-384-2767
Practice Address - Fax:484-657-7578
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-17
Last Update Date:2024-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty