| Person Directed Supports, Inc. | |
|
1234 Ellsworth Dr Whitehall PA 18052-4604 | |
| (484) 350-1029 | |
| Not Available |
| Full Name | Person Directed Supports, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1234 Ellsworth Dr, Whitehall, Pennsylvania |
| Authorized Official Name and Position | Kenneth L Gibat (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 4843501029 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Person Directed Supports, Inc. 1541 Alta Dr Ste 202 Whitehall PA 18052-5643 Ph: (484) 350-1029 | Person Directed Supports, Inc. 1234 Ellsworth Dr Whitehall PA 18052-4604 Ph: (484) 350-1029 |
| NPI Number | 1316069289 |
|---|---|
| Provider Enumeration Date | 04/04/2007 |
| Last Update Date | 11/21/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316069289 | NPI | - | NPPES |
| 100003346 | Other | PA | DPW PROMISE MPI# |
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