Provider Demographics
NPI:1396049466
Name:ROYER-GREAVES SCHOOL FOR BLIND
Entity type:Organization
Organization Name:ROYER-GREAVES SCHOOL FOR BLIND
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:COLEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:610-644-1810
Mailing Address - Street 1:118 S VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:PAOLI
Mailing Address - State:PA
Mailing Address - Zip Code:19301-1444
Mailing Address - Country:US
Mailing Address - Phone:610-644-1810
Mailing Address - Fax:610-644-8164
Practice Address - Street 1:118 S VALLEY RD
Practice Address - Street 2:
Practice Address - City:PAOLI
Practice Address - State:PA
Practice Address - Zip Code:19301-1444
Practice Address - Country:US
Practice Address - Phone:610-644-1810
Practice Address - Fax:610-644-8164
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-05
Last Update Date:2011-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA300157200251300000X
PA1000003542343900000X
PA177440385HR2060X
PA197790251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No251300000XAgenciesLocal Education Agency (LEA)
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child