NPI 1083026082

Samera Butler

Practitioner PACE Provider Organization Philadelphia, PA

Practice location

Address: 1213 Vine St STE 108, Philadelphia, PA 19107-1111
Phone: (215) 792-6884
Fax: (215) 395-8075

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 →

In Home Supportive Care Agency

Agencies Taxonomy 253Z00000X

Other In Home Supportive Care providers in Pennsylvania →

Registry record

NPI: 1083026082
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 May 2014
Record last updated: 24 May 2014

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.