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Provider Demographic Information - KISKI VALLEY OPPORTUNITIES UNLIMITED

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PROVIDER DEMOGRAPHIC INFORMATION Supporting line for group header


Name:	KISKI VALLEY OPPORTUNITIES UNLIMITED
Address:	129 COLUMBIA AVE PO BOX305 VANDERGRIFT, PA 15690
Phone:	(724) 567-7799
Fax:	(724) 568-3571
E-mail:	KVOU@COMCAST.NET
Web Site:	HTTP://WWW.KVOU.ORG

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PROVIDER CERTIFICATION INFORMATION Supporting line for group header

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

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PROVIDER SERVICES AND RATES Supporting line for group header


County : Armstrong/Indiana
\|Service Name / Level	\|Rate

In-Home & Commnty Supprts (Lvl 2)	$10.28 / 15 min.

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

In-Home & Commnty Supprts (Lvl 2)	$10.28 / 15 min.
Res Hab-1 Person-NG 4-Elig	$1,118.74 / 1 Day
Res Hab-2 Person-NG 1-Elig	$523.00 / 1 Day
Res Hab-2 Person-NG 1-Elig-w/Day Supports	$408.54 / 1 Day
Res Hab-2 Person-NG 2-Elig	$606.92 / 1 Day
Res Hab-2 Person-NG 2-Elig-w/Day Supports	$515.01 / 1 Day
Res Hab-2 Person-NG 3-Elig	$685.68 / 1 Day
Res Hab-2 Person-NG 3-Elig-ECS	$832.32 / 1 Day
Res Hab-2 Person-NG 3-Elig-w/Day Supports	$630.70 / 1 Day
Res Hab-2 Person-NG 4-Elig	$820.15 / 1 Day
Res Hab-2 Person-NG 4-Elig-ECS	$1,002.85 / 1 Day
Res Hab-2 Person-NG 4-Elig-w/Day Supports	$689.49 / 1 Day
Res Hab-2 Person-NG 4-Elig-w/Day Supports-ECS	$839.39 / 1 Day
Res Hab-3 Person-NG 1-Elig	$387.76 / 1 Day
Res Hab-3 Person-NG 1-Elig-w/Day Supports	$294.49 / 1 Day
Res Hab-3 Person-NG 2-Elig	$441.87 / 1 Day
Res Hab-3 Person-NG 2-Elig-w/Day Supports	$341.21 / 1 Day
Res Hab-3 Person-NG 3-Elig	$514.20 / 1 Day
Res Hab-3 Person-NG 3-Elig-w/Day Supports	$440.90 / 1 Day
Res Hab-3 Person-NG 4-Elig	$624.74 / 1 Day
Res Hab-3 Person-NG 4-Elig-w/Day Supports	$484.03 / 1 Day
Res Hab-Lic-1 Person-Inelig	$88.34 / 1 Day
Res Hab-Lic-2 Person-Inelig	$47.38 / 1 Day
Res Hab-Lic-3 Person-Inelig	$33.46 / 1 Day
Supplemental Habilitation 1:1 - 15 min	$5.77 / 15 min.

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