=====================================================
General NPI Number Information
=====================================================
NPI Number | 1811030356
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | PENNA. SCHOOL FOR DEAF
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/15/2007
-----------------------------------------------------
Last Update Date | 08/22/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 100 W SCHOOL HOUSE LN
-----------------------------------------------------
City | PHILADELPHIA
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 19144-3404
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 215-951-4700
-----------------------------------------------------
Fax | 215-951-4708
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 100 W SCHOOL HOUSE LN
-----------------------------------------------------
City | PHILADELPHIA
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 19144-3404
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 215-951-4700
-----------------------------------------------------
Fax | 215-951-4708
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | BUSINESS MANAGER
-----------------------------------------------------
Name | MR. FRANK FRANUS
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 215-951-4712
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251300000X
-----------------------------------------------------
Taxonomy Name | Local Education Agency (LEA)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------