OrganizationActive
Pennsylvania Department of Human Services
NPI 1851374698 · Intellectual Disabilities Intermediate Care Facility · Polk, PA
Provider details
- NPI number
- 1851374698
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Authorized official
- Kathy Light, Administrator
Practice location
1 Lakewood Circle
Polk, PA 16342
Phone: (814) 432-0211
Fax: (814) 432-0186
Mailing address
1 Lakewood Circle
Polk, PA 16342
Registry dates
- Enumerated
- 2005-11-25
- Last updated
- 2021-10-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.