NPI 1598088494

Living Independently for Elders

Organisation Exclusive Provider Organization Phila, PA

Practice location

Address: 4508 Chestnut St, Phila, PA 19139-3608
Phone: (215) 573-7200

Authorised official

Name: Gwen Lech
Title: Nurse Practitioner
Phone: (215) 386-1094

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X

Other Exclusive Provider Organization providers in Pennsylvania →

Registry record

NPI: 1598088494
Entity type: Organization
NPI issued: 5 Mar 2010
Record last updated: 5 Mar 2010

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.