| NPI | 1093940678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA STALEY Board Member 267-784-3217 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center Adult Day Care (Licence: PA 314294) |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2009-05-26 |
| Last Update Date | 2009-05-26 |