Healthcare Provider Details

I. General information

NPI: 1750072104
Provider Name (Legal Business Name): BARC DEVELOPMENTAL SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/17/2023
Last Update Date: 05/17/2023
Certification Date: 05/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4950 YORK ROAD
HOLICONG PA
18928-0470
US

IV. Provider business mailing address

4950 YORK ROAD, PO BOX 470
HOLICONG PA
18928-0470
US

V. Phone/Fax

Practice location:
  • Phone: 215-794-0800
  • Fax: 215-794-0958
Mailing address:
  • Phone: 215-794-0800
  • Fax: 267-843-6253

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name: MARY SAUTTER
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 215-794-0800