| NPI | 1003356452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL QUARTEY Medical Director 215-471-1407 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 251E00000X Home Health |
| 261Q00000X | |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| Enumeration Date | 2017-03-05 |
| Last Update Date | 2022-03-03 |