Provider Demographics
NPI:1962231688
Name:LANDONIA HOUSE
Entity type:Organization
Organization Name:LANDONIA HOUSE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAAR
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:717-877-7876
Mailing Address - Street 1:25 LINNET ST
Mailing Address - Street 2:
Mailing Address - City:WEST ROXBURY
Mailing Address - State:MA
Mailing Address - Zip Code:02132-2916
Mailing Address - Country:US
Mailing Address - Phone:717-877-7876
Mailing Address - Fax:
Practice Address - Street 1:25 LINNET ST
Practice Address - Street 2:
Practice Address - City:WEST ROXBURY
Practice Address - State:MA
Practice Address - Zip Code:02132-2916
Practice Address - Country:US
Practice Address - Phone:717-877-7876
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-31
Last Update Date:2024-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, AdultGroup - Multi-Specialty