Provider Demographics
NPI:1952010738
Name:KEYNET VIRTUALPLACE ENTERPRISE INC
Entity Type:Organization
Organization Name:KEYNET VIRTUALPLACE ENTERPRISE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:LOLITA
Authorized Official - Middle Name:A
Authorized Official - Last Name:MAIGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-525-9052
Mailing Address - Street 1:650 N 12TH ST
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17101-2818
Mailing Address - Country:US
Mailing Address - Phone:717-877-9425
Mailing Address - Fax:877-753-9638
Practice Address - Street 1:650 N 12TH ST
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17101-2818
Practice Address - Country:US
Practice Address - Phone:717-525-9052
Practice Address - Fax:877-753-9638
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-21
Last Update Date:2022-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes276400000XHospital UnitsRehabilitation, Substance Use Disorder Unit
No177F00000XOther Service ProvidersLodging
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No253Z00000XAgenciesIn Home Supportive Care
No261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation
No320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities