Organization
NATIONAL CARE HUMAN SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN JOHNSON (CEO)
(267) 333-3608
Entity
Organization
Contact information
Practice address
2300 COMPUTER RD STE A5, WILLOW GROVE, PA 19090-1733
(215) 346-2499
(215) 383-5038
Mailing address
2300 COMPUTER RD STE A5, WILLOW GROVE, PA 19090-1733
(215) 346-2499
(215) 383-5038
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
102891566
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102891566
—
PA
Enumeration date
06/17/2015
Last updated
06/17/2015
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