Provider Demographics
NPI:1679888051
Name:CONTINUUM CROSSINGS REHABILITATION
Entity type:Organization
Organization Name:CONTINUUM CROSSINGS REHABILITATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:GARY
Authorized Official - Middle Name:A
Authorized Official - Last Name:PETERS
Authorized Official - Suffix:
Authorized Official - Credentials:MHA, NHA
Authorized Official - Phone:814-375-9100
Mailing Address - Street 1:PO BOX 307
Mailing Address - Street 2:
Mailing Address - City:DU BOIS
Mailing Address - State:PA
Mailing Address - Zip Code:15801-0307
Mailing Address - Country:US
Mailing Address - Phone:814-375-9100
Mailing Address - Fax:814-375-3979
Practice Address - Street 1:212 S 8TH ST
Practice Address - Street 2:
Practice Address - City:DU BOIS
Practice Address - State:PA
Practice Address - Zip Code:15801-2811
Practice Address - Country:US
Practice Address - Phone:814-375-9100
Practice Address - Fax:814-375-3979
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DUBOIS CONTINUUM OF CARE COMMUNITY, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-08-10
Last Update Date:2010-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty