Provider Demographics
NPI:1063588176
Name:IMPACT SYSTEMS INC.
Entity type:Organization
Organization Name:IMPACT SYSTEMS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:MARCIA
Authorized Official - Middle Name:
Authorized Official - Last Name:REYNOLDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-644-2927
Mailing Address - Street 1:4 BERYL RD
Mailing Address - Street 2:
Mailing Address - City:PAOLI
Mailing Address - State:PA
Mailing Address - Zip Code:19301-1702
Mailing Address - Country:US
Mailing Address - Phone:610-644-2927
Mailing Address - Fax:610-296-7203
Practice Address - Street 1:4 BERYL RD
Practice Address - Street 2:
Practice Address - City:PAOLI
Practice Address - State:PA
Practice Address - Zip Code:19301-1702
Practice Address - Country:US
Practice Address - Phone:610-644-2927
Practice Address - Fax:610-296-7203
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KEYSTONE HUMAN SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-11-28
Last Update Date:2010-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities