| NPI | 1922324649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLEE EVONNE SCOTT Owner 215-477-0878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility (Licence: PA 13233601) |
| Enumeration Date | 2010-04-20 |
| Last Update Date | 2010-04-20 |