| NPI | 1023764206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORA HOCKENBURY Contracts & Regulatory Mgr 215-642-6600 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA0600X Clinic/Center Adult Day Care |
| Enumeration Date | 2022-02-25 |
| Last Update Date | 2022-02-25 |