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Organization
SENIORWELL OF PENNSYLVANIA, LLC
Active
Organization
SENIORWELL OF PENNSYLVANIA, LLC
Active
Other names
SeniorWell of Pennsylvania, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MARONEY (CEO)
(844) 882-3127
Entity
Organization
Contact information
Practice address
2929 ARCH ST STE 1700, PHILADELPHIA, PA 19104-7327
(844) 882-3127
(844) 246-5875
Mailing address
2100 E LAKE COOK RD, BUFFALO GROVE, IL 60089-1999
(844) 882-3127
(844) 246-5875
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
NULL
122300000X
Dentist
Primary
—
—
152W00000X
Optometrist
—
NULL
152W00000X
Optometrist
—
—
231H00000X
Audiologist
—
NULL
231H00000X
Audiologist
—
—
Other
Enumeration date
09/11/2019
Last updated
09/11/2019
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