Organization
GAUDENZIA INC
Active
Other names
GAUDENZIA JOY OF LIVING
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE WILLIAMS (SR. CONTRACTING MANAGER)
(484) 338-3731
Entity
Organization
Contact information
Practice address
1306 SPRING GARDEN ST, PHILADELPHIA, PA 19123-3213
(215) 413-8264
(215) 413-8274
Mailing address
106 W MAIN ST, NORRISTOWN, PA 19401-4716
(610) 239-9600
(610) 275-7025
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
104334
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1002285890090
—
PA
Enumeration date
10/04/2010
Last updated
03/10/2022
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