Healthcare Provider Details

I. General information

NPI: 1972417681
Provider Name (Legal Business Name): COMMUNITY VOCATIONAL SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

235 VINE ST
HONESDALE PA
18431-1636
US

IV. Provider business mailing address

235 VINE ST
HONESDALE PA
18431-1636
US

V. Phone/Fax

Practice location:
  • Phone: 570-220-6594
  • Fax: 579-796-1001
Mailing address:
  • Phone: 570-220-6594
  • Fax: 570-796-1007

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: KIM EMMET
Title or Position: CEO
Credential:
Phone: 570-220-6594