Keystone Community Resources, Inc.
LBN: Keystone Community Resources, Inc.
Keystone Community Resources, Inc. is an health care organization with primary practice located at 336 Sheridan Ave , Clarks Summit PA 18411-1458. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty.
Keystone Community Resources, Inc. can be contacted via phone (570) 319-1482, or through Davitt, David Anthony via phone (570) 702-8000.
Contact Information
Primary practice address
336 Sheridan Ave
Clarks Summit PA 18411-1458
Phone: (570) 319-1482
Fax: (570) 702-8096
Website:
Authorized official contact:
Name: Davitt, David Anthony Doctor of Osteopathy (DO)
Phone: (570) 702-8000
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 320900000X |
Profile Details
| NPI number | 1114559267 |
|---|---|
| LBN Legal business name | Keystone Community Resources, Inc. |
| DBA Doing business as | |
| Authorized official | Davitt, David Anthony Doctor of Osteopathy (DO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 6th, 2020 |
| Last updated | Feb 6th, 2020 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114559267 | NPPES |
| New Jersey | MEDICAID | 0598747 | |
| New Jersey | MEDICAID | 100001010 |
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