Organization
ASPIRA GROUP LLC
Active
Other names
Above & Beyond Support Coordination
Organization subpart
No
Provider details
NPI number
Authorized official
DANITA RANDOLPH (MANAGER)
(856) 701-0884
Entity
Organization
Contact information
Practice address
1010 N HANCOCK ST, PHILADELPHIA, PA 19123-2334
(856) 701-0884
Mailing address
1010 N HANCOCK ST, PHILADELPHIA, PA 19123-2334
(856) 701-0884
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
6475186
PA
Other
Enumeration date
01/05/2017
Last updated
01/05/2017
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