NPI | 1700984622 |
---|---|
Doing Business As | SOUTH MOUNTAIN FAMILY PRACTICE |
Entity Type | Organization |
Authorized Contact | DEAN W EVANS President 610-954-4991 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 310400000X Assisted Living Facility |
Enumeration Date | 2006-09-21 |
Last Update Date | 2010-05-11 |