NPI 1245684380
Prospect Ccmc, LLC
Practice location
- Address
- 301 W 15th St, Chester, PA 19013-5300
- Phone
- (610) 619-8700
Authorised official
- Name
- Robert Jon Elders
- Title
- Secretary
- Phone
- (714) 788-1249
Registered specialties
Respite Care
Primary
Registry record
- NPI
- 1245684380
- Entity type
- Organization
- NPI issued
- 14 Apr 2016
- Record last updated
- 15 Jan 2021
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.