| NPI Details | |
|---|---|
| NPI | 1770992240 |
| Enumeration Date | 08/08/2014 |
| Last Updated | 08/08/2014 |
| Entity Type | Healthcare Provider |
| Active | Over 3 years ago |
| Authorized Information | |
|---|---|
| Name | DEBORAH DEBORAH |
| Position | DIRECTOR |
| Phone | (215) 352-4661 |
| Fax | (267) 535-3003 |
| Practice Location | |
|---|---|
| 3422 W COMMISSIONER ST PHILADELPHIA PA, 19132-1828, US |
|
| Phone | (215) 352-4661 |
| Fax | (267) 535-3003 |
| Business Location | |
|---|---|
| 3422 W COMMISSIONER ST PHILADELPHIA PA, 19132-1828, US |
|
| Phone | (215) 352-4661 |
| Fax | (267) 535-3003 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 253Z00000X |
| License State | Pennsylvania |
| License Number | 23653601 |
| Remove 1770992240 NPI Number | |
According to our database, Family Wise Llc NPI is 1770992240, taxonomy code is 253Z00000X and license number is 23653601, license state is located at Pennsylvania. Family Wise Llc physically located at 3422 W Commissioner St, Philadelphia PA, 19132-1828. NPI Number 1033115704 has the healthcare provider type.
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1770992240 NPI number is provided on an as is basis without warranty of any kind. 1770992240 is maintained by the National Plan & Provider Enumeration System. The contents of Family Wise Llc are for informational purposes only.
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