Healthcare Provider Details

I. General information

NPI: 1043127525
Provider Name (Legal Business Name): MENNO-HAVEN, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1427 PHILADELPHIA AVE
CHAMBERSBURG PA
17201-1396
US

IV. Provider business mailing address

300 RIDGEVIEW
CHAMBERSBURG PA
17201-1530
US

V. Phone/Fax

Practice location:
  • Phone: 717-709-4510
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: RYAN FRITZ
Title or Position: CFO
Credential:
Phone: 717-262-1002