# AHI SKIN REJUVENATION CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** AT HOME INC
- **Other names:** At Home Inc
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1841475225
- **Legal business name:** AT HOME INC
- **Authorized official:** MR. PATRICK ROBERT STONICH RN,BSN (DIRECTOR OF NURSING)
- **Authorized official phone:** (267) 319-1530

## Contact information

- **Practice address:** 415 BUSINESS PARK LN, ALLENTOWN, PA 18109-9120
- **Practice address phone:** (267) 319-1530
- **Practice address fax:** (267) 319-1531
- **Mailing address:** 1233 LOCUST STREET, SUITE 304, PHILADELPHIA, PA 19107
- **Mailing address phone:** (267) 319-1530
- **Mailing address fax:** (267) 319-1531

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | — |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/04/2008
- **Last updated:** 08/17/2010