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Provider Demographic Information - BUSINESS NAME

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Below Is the information you requested on the individual or agency BUSINESS NAME. Select from the options on the right to view specific information of interest to you. As this information may change, please check back often for the most up-to-date information.

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	Show me this service provider's qualified services and rates.

PROVIDER DEMOGRAPHIC INFORMATION Supporting line for group header


Name:	BUSINESS NAME
Address:	3600 VARTAN WAY HARRISBURG, PA 17110-1215
Phone:	(545) 645-6547
Web Site:	N/A

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PROVIDER CERTIFICATION INFORMATION Supporting line for group header

Click here to view Provider Certification Information

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PROVIDER'S PARENT/ REGIONAL OFFICE Supporting line for group header


Type:	Corporate Office
Name:	PARENT ENTITY
Address:	PARENT ENTITY ADDRESS HARRISBURG, PA 17111-1313
Phone:	(717) 464-4566

Type:	Regional/Field Office	Counties Served:	Dauphin
Name:	REGIONAL/FIELD INFORMATION
Address:	REGIONAL/FIELD ADDRESS HARRISBURG, PA 17111-3246
Phone:	(717) 546-6541

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PROVIDER SERVICES AND RATES Supporting line for group header


County : Dauphin
\|Service Name / Level	\|Rate

Comm. Resid. Rehab. (5310 -Eligible)-1 month	Not Set
Comm. Resid. Rehab. (5310 -Eligible)-1/2 month	Not Set
Community Habilitation(2380 - Level 1)-15 min	Not Set
Community Habilitation(2380 - Level 2)-1 hr	Not Set
Community Homes (6400 - Ineligible)-1 month	Not Set
Community Homes (6400 - Ineligible)-1/2 month	Not Set
Family Living Homes (6500 -Ineligible)-1 month	Not Set
Home Finding-Flat Fee	Not Set
Home and Community Habilitation(Base)-15 min	Not Set
Home and Community Habilitation(Level 3 Enh)-1 hr	Not Set
Job Finding Service-1 hr	Not Set
Job Support Service-1 hr	Not Set
Pre-Vocational Services(2390 - Level 2)-1 hr	Not Set
Resid. Hab. - Unlicensed (Eligible)-1/2 month	Not Set
Respite - In Home(Level 2)-< 24 hr	Not Set
Respite - Out-of-Home(Base)-24 hr	Not Set
Respite - Out-of-Home(Level 2 Enh)-< 24 hr	Not Set
Speech and Language Therapy-15 min	Not Set
Transitional Work Services(Level 1)-1 hr	Not Set
Transitional Work Services(Level 1)-15 min	Not Set
Transportation(Zone 3)-Trip	Not Set
Visual/Mobility Therapy-15 min	Not Set

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