| NPI | 1417286584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTOINETTE DENISE MYERS Administrator 215-500-5707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM3000X Clinic/Center, Medically Fragile Infants and Children Day Care (Licence: PA RN310515L) |
| Additional Taxonomies | 261Q00000X (Licence: PA RN310515L) |
| Enumeration Date | 2009-12-18 |
| Last Update Date | 2009-12-18 |