NPI 1255578928

City of Phila

Organisation Custodial Care Facility Phila, PA

Practice location

Address: 500 S Broad St Ambulatory Health Services, Phila, PA 19146-1613
Phone: (215) 685-6792
Fax: (215) 685-6848
Mailing address: 7979 State Rd, Phila, PA 19136-3407

Authorised official

Name: Janet Stevenson
Title: Director
Phone: (215) 685-6792

Registered specialties

Custodial Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311Z00000X Licence 144730 (PA)

Other Custodial Care Facility providers in Pennsylvania →

Registry record

NPI: 1255578928
Entity type: Organization
NPI issued: 16 Jan 2009
Record last updated: 16 Jan 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.