Provider Demographics
NPI:1134423718
Name:HOUSING AUTHORITY OF THE COUNTY OF BEAVER
Entity type:Organization
Organization Name:HOUSING AUTHORITY OF THE COUNTY OF BEAVER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CARL
Authorized Official - Middle Name:
Authorized Official - Last Name:DECHELLIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-775-1220
Mailing Address - Street 1:300 STATE AVE
Mailing Address - Street 2:
Mailing Address - City:BEAVER
Mailing Address - State:PA
Mailing Address - Zip Code:15009-1629
Mailing Address - Country:US
Mailing Address - Phone:724-775-1220
Mailing Address - Fax:724-775-8827
Practice Address - Street 1:300 STATE AVE
Practice Address - Street 2:
Practice Address - City:BEAVER
Practice Address - State:PA
Practice Address - Zip Code:15009-1629
Practice Address - Country:US
Practice Address - Phone:724-775-1220
Practice Address - Fax:724-775-8827
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-22
Last Update Date:2010-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health