NPI 1164755625

Lori Decarlo, COTAL

Practitioner Adult Care Home Facility Aston, PA

Practice location

Address: 696a Lenni Rd, Aston, PA 19014-1066
Phone: (610) 459-2046

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X Licence OP001599L (PA)

Other Custodial Care Facility providers in Pennsylvania →

Registry record

NPI: 1164755625
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Sep 2009
Record last updated: 15 Sep 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.