# VIRTUAL PREVENTIVE CARE SERVICE

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

## Provider details

- **NPI number:** 1407603046
- **Authorized official:** KATINA CARTER GEIGER (CEO)
- **Authorized official phone:** (215) 847-7711

## Contact information

- **Practice address:** 99 HAMILTON CT, PENNSAUKEN, NJ 08110-1241
- **Practice address phone:** (215) 847-7711
- **Practice address fax:** (610) 734-0272
- **Mailing address:** 7018 SAYBROOK AVE, PHILADELPHIA, PA 19142-1124
- **Mailing address phone:** (215) 847-7711
- **Mailing address fax:** (610) 734-0272

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251C00000X | Developmentally Disabled Services Day Training Agency | — | NULL | — |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |
| 261QM0850X | Adult Mental Health Clinic/Center | — | NULL | — |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | — |
| 320700000X | Physical Disabilities Residential Treatment Facility | — | NULL | — |
| 320900000X | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | — | NULL | — |
| 342000000X | Transportation Network Company | — | NULL | — |
| 347E00000X | Transportation Broker | — | NULL | — |
| 385HR2060X | Child Intellectual and/or Developmental Disabilities Respite Care | — | NULL | — |
| 385HR2065X | Child Physical Disabilities Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 05/01/2024
- **Last updated:** 05/01/2024