# FIRELY PEDIATRIC SERVICES INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194179838
- **Authorized official:** CHRISTOPHER OLEKSA (COO)
- **Authorized official phone:** (215) 513-7455

## Contact information

- **Practice address:** 930 OAK DR, POTTSTOWN, PA 19464-7102
- **Practice address phone:** (215) 513-7455
- **Mailing address:** 364 MAPLE AVE, HARLEYSVILLE, PA 19438-2212

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | 0084969 | PA | Yes |

## Other

- **Enumeration date:** 04/19/2016
- **Last updated:** 04/19/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00084969 | — | PA |