# VERNON CARE LIVING INC

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

## Provider details

- **NPI number:** 1982931440
- **Authorized official:** MISS GORMAH PINKY KOLLEH (PART OWNER)
- **Authorized official phone:** (215) 758-7136

## Contact information

- **Practice address:** 729 E VERNON RD, PHILADELPHIA, PA 19119-1502
- **Practice address phone:** (215) 758-7136
- **Mailing address:** 1435 BOGGS RD, APARTMENT 1018, DULUTH, GA 30096-1201

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 11/04/2009
- **Last updated:** 11/04/2009