Healthcare Provider Details
I. General information
NPI: 1528125986
Provider Name (Legal Business Name): RANKIN CHRISTIAN CENTER
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/03/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
230 3RD AVE
RANKIN PA
15104-1147
US
IV. Provider business mailing address
230 3RD AVE
RANKIN PA
15104-1147
US
V. Phone/Fax
- Phone: 412-271-8313
- Fax: 412-271-6723
- Phone: 412-271-8313
- Fax: 412-271-6723
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251B00000X |
| Taxonomy | Case Management Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
PAUL
SANDUSKY
Title or Position: EXECUTIVE DIRECTOR
Credential: REVEREND
Phone: 412-271-8313