Healthcare Provider Details

I. General information

NPI: 1891721296
Provider Name (Legal Business Name): ALLEGHENY LUTHERAN SOCIAL MINISTRIES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 QUAIL AVE
ALTOONA PA
16602-3010
US

IV. Provider business mailing address

915 HICKORY ST
HOLLIDAYSBURG PA
16648-2247
US

V. Phone/Fax

Practice location:
  • Phone: 814-696-4500
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code373H00000X
TaxonomyDay Training/Habilitation Specialist
License Number110660
License Number StatePA

VIII. Authorized Official

Name: MS. PATRICIA SAVAGE
Title or Position: CEO
Credential:
Phone: 814-696-4500