Healthcare Provider Details

I. General information

NPI: 1588782148
Provider Name (Legal Business Name): LAWRENCE COUNTY ASSOCIATION FOR RESPONSIBLE CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/26/2007
Last Update Date: 05/13/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28 S MERCER ST
NEW CASTLE PA
16101-3828
US

IV. Provider business mailing address

28 S MERCER ST
NEW CASTLE PA
16101-3828
US

V. Phone/Fax

Practice location:
  • Phone: 724-658-8515
  • Fax: 724-658-8566
Mailing address:
  • Phone: 724-658-8515
  • Fax: 724-658-8566

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateNULL
# 5
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number StateNULL
# 6
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number StateNULL

VIII. Authorized Official

Name: PETER DARNO
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 724-658-8515