Healthcare Provider Details

I. General information

NPI: 1780964692
Provider Name (Legal Business Name): RANKIN CHRISTIAN CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/23/2011
Last Update Date: 08/23/2011
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

Practice location:
  • Phone: 412-271-8313
  • Fax: 412-436-2147
Mailing address:
  • Phone: 412-271-8313
  • Fax: 412-436-2147

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. PAUL A SANDUSKY
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 412-271-8313