Healthcare Provider Details

I. General information

NPI: 1487285508
Provider Name (Legal Business Name): UNITED DISABILITIES SERVICES FOUNDATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/28/2020
Last Update Date: 01/12/2021
Certification Date: 01/12/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2270 ERIN CT
LANCASTER PA
17601
US

IV. Provider business mailing address

2270 ERIN CT
LANCASTER PA
17601
US

V. Phone/Fax

Practice location:
  • Phone: 717-397-1841
  • Fax: 717-947-7446
Mailing address:
  • Phone: 717-397-1841
  • Fax: 717-947-7446

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171WH0202X
TaxonomyHome Modifications Contractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: ELIZABETH BRENNAN
Title or Position: CFO
Credential:
Phone: 717-715-8770