Provider Demographics
NPI:1962531152
Name:PEDIA MANOR, INC.
Entity type:Organization
Organization Name:PEDIA MANOR, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SUDESH
Authorized Official - Middle Name:
Authorized Official - Last Name:SINGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-262-6340
Mailing Address - Street 1:2881 GOLF CIR
Mailing Address - Street 2:
Mailing Address - City:EMMAUS
Mailing Address - State:PA
Mailing Address - Zip Code:18049-1733
Mailing Address - Country:US
Mailing Address - Phone:610-984-4258
Mailing Address - Fax:866-709-0050
Practice Address - Street 1:6095 DURHAM RD
Practice Address - Street 2:
Practice Address - City:PIPERSVILLE
Practice Address - State:PA
Practice Address - Zip Code:18947-1215
Practice Address - Country:US
Practice Address - Phone:215-766-2183
Practice Address - Fax:215-766-2184
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-05
Last Update Date:2024-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA121200320600000X
PA124070320600000X
PA124950320600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities