| NPI | 1407141930 |
|---|---|
| Former Legal Business Name | CEDAR RESIDENCE LLC |
| Entity Type | Organization |
| Authorized Contact | RONALD A. HALKO Owner 215-718-9702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility (Licence: PA 357038) |
| Enumeration Date | 2011-06-13 |
| Last Update Date | 2015-09-09 |