NPI 1114474459

Complete Care Coordination Agency

Organisation Health Maintenance Organization Philadelphia, PA

Practice location

Address: 6324 Shelbourne St, Philadelphia, PA 19111-5615
Phone: (215) 668-5769

Authorised official

Name: Johanne Mesidor-Dorsainvil
Title: Chief Executive Officer
Phone: (215) 668-5769

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X

Other Health Maintenance Organization providers in Pennsylvania →

Registry record

NPI: 1114474459
Entity type: Organization
NPI issued: 3 Sep 2016
Record last updated: 3 Sep 2016

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.