Healthcare Provider Details

I. General information

NPI: 1689297681
Provider Name (Legal Business Name): ARS OF EPHRATA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2020
Last Update Date: 09/13/2022
Certification Date: 09/13/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 S STATE ST
EPHRATA PA
17522-2410
US

IV. Provider business mailing address

150 ONIX DR
KENNETT SQUARE PA
19348-1886
US

V. Phone/Fax

Practice location:
  • Phone: 717-740-6910
  • Fax:
Mailing address:
  • Phone: 302-598-2043
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2800X
TaxonomyMethadone Clinic
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: GENEVIEVE KING
Title or Position: COO
Credential:
Phone: 484-731-2500