| NPI | 1093682213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE VANSCHAICK Regulatory & Contracts Analyst 215-642-6600 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 385H00000X Respite Care |
| Enumeration Date | 2025-10-22 |
| Last Update Date | 2025-10-22 |