| NPI | 1477728889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMED DEEN YANSANE Administrator 484-469-4692 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: PA CER-00082144) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: PA 9904407) |
| 163W00000X Registered Nurse (Licence: PA RN593005) | |
| 164W00000X Licensed Practical Nurse | |
| 385H00000X Respite Care (Licence: PA CER-00082144) | |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2015-06-03 |