NPI 1003052820

Life St. Mary

Organisation PACE Provider Organization Trevose, PA

Practice location

Address: 2500 Interplex Drive, Trevose, PA 19053-6943
Phone: (215) 710-6114
Mailing address: 1201 Langhorne-Newtown Rd., Langhorne, PA 19047-1201

Authorised official

Name: Emily Amerman
Title: Executive Director
Phone: (215) 710-6114

Registered specialties (2)

PACE Provider Organization Primary

Agencies Taxonomy 251T00000X

Other Program of All-Inclusive Care for the Elderly (PACE) Provider Organization providers in Pennsylvania →

Adult Day Care Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QA0600X

Other Clinic/Center providers in Pennsylvania →

Registry record

NPI: 1003052820
Entity type: Organization
NPI issued: 29 Dec 2008
Record last updated: 21 Apr 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.