Healthcare Provider Details

I. General information

NPI: 1609938513
Provider Name (Legal Business Name): THE VISTA FOUNDATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2006
Last Update Date: 09/12/2025
Certification Date: 08/24/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1021 SPRINGBOARD DRIVE
HERSHEY PA
17033-1715
US

IV. Provider business mailing address

1021 SPRINGBOARD DRIVE
HERSHEY PA
17033-1715
US

V. Phone/Fax

Practice location:
  • Phone: 717-835-0310
  • Fax: 717-835-0314
Mailing address:
  • Phone: 717-835-0310
  • Fax: 717-835-0314

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number
License Number StateNULL

VIII. Authorized Official

Name: SABRINA MARIE DELONG
Title or Position: COMPLIANCE OFFICER
Credential:
Phone: 717-583-5102