MEDICARE: BARC DEVELOPMENTAL SERVICES, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	100000166	OTHER	PA	ODP MPI

General Provider Information

NPI Number	:	1750072104
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BARC DEVELOPMENTAL SERVICES, INC

Provider Business Mailing Address
First Line	:	4950 YORK ROAD, PO BOX 470
Second Line	:
City	:	HOLICONG
State	:	PA
Zip	:	18928-0470
Country	:	US
Telephone Number	:	215-794-0800
Fax Number	:	267-843-6253

Provider Business Practice Location Address
First Line	:	4950 YORK ROAD
Second Line	:
City	:	HOLICONG
State	:	PA
Zip	:	18928-0470
Country	:	US
Telephone Number	:	215-794-0800
Fax Number	:	215-794-0958

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MARY SAUTTER
Credential	:
Telephone Number	:	215-794-0800

Provider Enumeration Date	:	05/17/2023
Last Update Date	:	05/17/2023

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Directions to “BARC DEVELOPMENTAL SERVICES, INC ” Practice Location

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