MEDICARE: MIGLIORE TREATMENT SERVICES

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	251S00000X	Community/Behavioral Health Agency		PA

General Provider Information

NPI Number	:	1801342688
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MIGLIORE TREATMENT SERVICES

Provider Business Mailing Address
First Line	:	61 S 41ST STREET
Second Line	:
City	:	HARRISBURG
State	:	PA
Zip	:	17111
Country	:	US
Telephone Number	:	814-952-2264
Fax Number	:

Provider Business Practice Location Address
First Line	:	2873 SKYVIEW DR
Second Line	:
City	:	CAMP HILL
State	:	PA
Zip	:	17011-1630
Country	:	US
Telephone Number	:	814-952-2264
Fax Number	:

Authorized Official
Title or Position	:	CEO/DIRECTOR
Name	:	EMOGENE RENEA SNYDER
Credential	:	M.S.
Telephone Number	:	814-952-2264

Provider Enumeration Date	:	08/31/2016
Last Update Date	:	08/31/2016

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