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Provider Demographic Information - WAKEFIELD COTTAGE LLC Help Service
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PROVIDER DEMOGRAPHIC INFORMATION Supporting line for group header
 
Name: WAKEFIELD COTTAGE LLC
Address: 2608 STATE ROUTE 903
ALBRIGHTSVILLE, PA 18210
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: WAKEFIELD COTTAGE LLC
Address: PO BOX 314
ALBRIGHTSVILLE, PA 18210-0314
Phone: (570) 722-8883
Fax: (570) 722-9399
 

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PROVIDER SERVICES AND RATES Supporting line for group header
 
County : Carbon/Monroe/Pike
|Service Name / Level |Rate
Res Hab-1 Person-NG 1-Elig $523.00 / 1 Day
Res Hab-1 Person-NG 1-Elig-w/Day Supports $408.54 / 1 Day
Res Hab-1 Person-NG 2-Elig $606.92 / 1 Day
Res Hab-1 Person-NG 2-Elig-w/Day Supports $515.01 / 1 Day
Res Hab-1 Person-NG 3-Elig $924.89 / 1 Day
Res Hab-1 Person-NG 3-Elig-w/Day Supports $746.22 / 1 Day
Res Hab-1 Person-NG 4-Elig $1,118.74 / 1 Day
Res Hab-1 Person-NG 4-Elig-w/Day Supports $822.23 / 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-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-w/Day Supports $689.49 / 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-4 Person-NG 1-Elig-w/Day Supports $232.07 / 1 Day
Res Hab-4 Person-NG 2-Elig-w/Day Supports $268.22 / 1 Day
Res Hab-4 Person-NG 3-Elig-w/Day Supports $341.91 / 1 Day
Res Hab-4 Person-NG 4-Elig-w/Day Supports $376.12 / 1 Day
Res Hab-Lic-1 Person-Inelig $99.10 / 1 Day
Res Hab-Lic-2 Person-Inelig $54.05 / 1 Day
Res Hab-Lic-3 Person-Inelig $38.74 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 1 $304.14 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 2 $347.00 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 3 $401.47 / 1 Day
Res Hab-Lic-4 Person-Elig-NG 4 $481.66 / 1 Day
Res Hab-Lic-4 Person-Inelig $30.10 / 1 Day
Supplemental Habilitation 1:1 - 15 min $5.77 / 15 min.

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