Provider Demographics
NPI:1457512634
Name:ASSOCIATED SERVICES FOR THE BLIND, INC.
Entity type:Organization
Organization Name:ASSOCIATED SERVICES FOR THE BLIND, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:C
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-627-0600
Mailing Address - Street 1:919 WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107-5237
Mailing Address - Country:US
Mailing Address - Phone:215-627-0600
Mailing Address - Fax:215-922-0692
Practice Address - Street 1:919 WALNUT ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19107-5237
Practice Address - Country:US
Practice Address - Phone:215-627-0600
Practice Address - Fax:215-922-0692
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-20
Last Update Date:2008-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services