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General NPI Number Information
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NPI Number | 1073640215
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Entity Type | Organization
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Legal Business Name | ERIE HOMES FOR CHILDREN AND ADULTS, INC.
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Dates
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Enumeration Date | 02/27/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 226 E 27TH ST
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City | ERIE
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State | PA
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Zip | 16504-1006
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Country | US
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Telephone | 814-454-1534
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Fax | 814-452-6723
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Provider Business Mailing Address
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Address Line | 226 E 27TH ST
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City | ERIE
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State | PA
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Zip | 16504-1006
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Country | US
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Telephone | 814-454-1534
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Fax | 814-452-6723
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Authorized Official
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Title or Position | CONTROLLER
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Name | JOYCE L. PETERS
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Credential |
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Telephone | 814-454-1534
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number | 402510
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License Number State | PA
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