| NPI | 1669078267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHOMARI WEEDOR Officer 610-809-5385 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM3000X Clinic/Center, Medically Fragile Infants and Children Day Care |
| Enumeration Date | 2020-12-08 |
| Last Update Date | 2020-12-08 |