Healthcare Provider Details

I. General information

NPI: 1861930380
Provider Name (Legal Business Name): REGIONAL HEALTH SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/03/2017
Last Update Date: 02/03/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3330 PEACH STREET SUITE 211
ERIE PA
16508-2772
US

IV. Provider business mailing address

3330 PEACH STREET SUITE 211
ERIE PA
16508-2772
US

V. Phone/Fax

Practice location:
  • Phone: 814-877-5484
  • Fax: 814-877-5489
Mailing address:
  • Phone: 814-877-5484
  • Fax: 814-877-5489

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State

VIII. Authorized Official

Name: MARY CALDWELL
Title or Position: SR. MANAGER
Credential:
Phone: 412-432-5846