Healthcare Provider Details

I. General information

NPI: 1881656437
Provider Name (Legal Business Name): ALLEGHENY LUTHERAN SOCIAL MINISTRIES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/06/2006
Last Update Date: 03/23/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

231 TABERNACLE DR
SOMERSET PA
15501-2660
US

IV. Provider business mailing address

915 HICKORY ST
HOLLIDAYSBURG PA
16648-2247
US

V. Phone/Fax

Practice location:
  • Phone: 814-445-8506
  • Fax:
Mailing address:
  • Phone: 814-696-4500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code373H00000X
TaxonomyDay Training/Habilitation Specialist
License Number091080
License Number StatePA

VIII. Authorized Official

Name: PATRICIA SAVAGE
Title or Position: CEO
Credential: PH. D., NHA
Phone: 814-696-4500