Provider Demographics
NPI:1770791196
Name:YOUNG WOMENS CHRISTIAN ASSOCIATION OF BUTLER PA
Entity type:Organization
Organization Name:YOUNG WOMENS CHRISTIAN ASSOCIATION OF BUTLER PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COMPTROLLER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JUDITH
Authorized Official - Middle Name:A
Authorized Official - Last Name:NEIGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-287-5709
Mailing Address - Street 1:120 W CUNNINGHAM ST
Mailing Address - Street 2:
Mailing Address - City:BUTLER
Mailing Address - State:PA
Mailing Address - Zip Code:16001-5742
Mailing Address - Country:US
Mailing Address - Phone:724-287-5709
Mailing Address - Fax:724-287-0598
Practice Address - Street 1:120 W CUNNINGHAM ST
Practice Address - Street 2:
Practice Address - City:BUTLER
Practice Address - State:PA
Practice Address - Zip Code:16001-5742
Practice Address - Country:US
Practice Address - Phone:724-287-5709
Practice Address - Fax:724-287-0598
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA450930310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1010793300001Medicaid