Healthcare Provider Details

I. General information

NPI: 1902128309
Provider Name (Legal Business Name): CENTRAL INTERMEDIATE UNIT # 10
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/26/2010
Last Update Date: 08/18/2025
Certification Date: 08/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 SHADY LN STE 120
PHILIPSBURG PA
16866-1985
US

IV. Provider business mailing address

345 LINK RD
WEST DECATUR PA
16878-8317
US

V. Phone/Fax

Practice location:
  • Phone: 814-342-0884
  • Fax: 814-342-5137
Mailing address:
  • Phone: 814-342-0884
  • Fax: 814-342-5137

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. ROXANN EMIGH
Title or Position: PRESCHOOL EI DIRECTOR
Credential:
Phone: 814-342-0884