| NPI | 1588446629 |
|---|---|
| Doing Business As | MONTICELLO HOUSE AT RIDDLE VILLAGE |
| Entity Type | Organization |
| Authorized Contact | CATHY FREWIN Ar Specialist 610-891-3806 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2023-10-13 |
| Last Update Date | 2023-10-13 |