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Organization
WESTMEADE CENTER
Active
Organization
WESTMEADE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROSE DIOTTAVIO (PRESIDENT)
(215) 471-2687
Entity
Organization
Contact information
Practice address
111 N 49TH ST, PHILADELPHIA, PA 19139-2718
(215) 471-2687
(215) 471-2845
Mailing address
111 N 49TH ST, PHILADELPHIA, PA 19139-2718
(215) 471-2687
(215) 471-2845
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
187750
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007723600009
—
PA
Enumeration date
12/06/2006
Last updated
06/26/2008
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