# LTC TREATMENT CENTER INC

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

## Provider details

- **NPI number:** 1366008260
- **Authorized official:** MATTHEW RANWWEILER (DIRECTOR)
- **Authorized official phone:** (215) 282-6640

## Contact information

- **Practice address:** 7712 BUIST AVE APT B, PHILADELPHIA, PA 19153-1705
- **Practice address phone:** (215) 282-6640
- **Mailing address:** 3720 SPRUCE ST \# 318, PHILADELPHIA, PA 19104-4115
- **Mailing address phone:** (215) 282-6640

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/15/2019
- **Last updated:** 05/15/2019
