Organization
99 ADULT DAYCARE II INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YI LIU (EXECUTIVE DIRECTOR)
(215) 607-9868
Entity
Organization
Contact information
Practice address
1533-39 N 7TH ST, PHILADELPHIA, PA 19122
(215) 232-1133
(215) 787-9929
Mailing address
1533-39 N 7TH ST, PHILADELPHIA, PA 19122
(215) 232-1133
(215) 787-9929
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1036055430001
—
PA
Enumeration date
06/27/2019
Last updated
06/27/2019
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