Provider Demographics
NPI:1487285508
Name:UNITED DISABILITIES SERVICES FOUNDATION
Entity type:Organization
Organization Name:UNITED DISABILITIES SERVICES FOUNDATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:BRENNAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-715-8770
Mailing Address - Street 1:2270 ERIN CT
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601
Mailing Address - Country:US
Mailing Address - Phone:717-397-1841
Mailing Address - Fax:717-947-7446
Practice Address - Street 1:2270 ERIN CT
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601
Practice Address - Country:US
Practice Address - Phone:717-397-1841
Practice Address - Fax:717-947-7446
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:UNITED DISABILITIES SERVICES FOUNDATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-01-28
Last Update Date:2021-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171WH0202XOther Service ProvidersContractorHome ModificationsGroup - Single Specialty
No251B00000XAgenciesCase ManagementGroup - Single Specialty
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA100680965Medicaid