| NPI | 1063913143 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOEL ROBERTS Administrator 215-908-7786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM3000X Clinic/Center, Medically Fragile Infants and Children Day Care (Licence: PA CER00101837) |
| Enumeration Date | 2018-02-23 |
| Last Update Date | 2018-02-23 |