GAUDENZIA INC NPI 1336263755

NPI Information

NPI: 1336263755
Provider Name: GAUDENZIA INC

Other Name: GAUDENZIA VANTAGE HOUSE

Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
208 E KING ST
LANCASTER, PA
ZIP 17602
Phone: (717) 291-1020
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GAUDENZIA INC is a rehabilitation and substance use disorder clinic center in Lancaster, PA. GAUDENZIA INC NPI is 1336263755. The provider is registered as an organization entity type.
The provider Other Name Is Gaudenzia Vantage House.

The provider's business location address is:

208 E KING ST
LANCASTER, PA
ZIP 17602-927
Phone: (717) 291-1020
Fax: (717) 293-9064

The provider's authorized official is Michael J Moyle .
The authorized official title is Dir. Fiscal & Corporate Operations and has the following contact phone number (610) 239-9600.

The enumeration date for this NPI number is 3/19/2007 and was last updated on 2/6/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	367044	PENNSYLVANIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1002285890087	MEDICAID	PENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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