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Organization

HEALTHCARE FOR KIDS PA, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOSEPH HARRELSON (AUTHORIZED OFFICIAL)
(470) 657-9001
Entity
Organization

Contact information

Practice address
1199 JACKS RUN RD, NORTH VERSAILLES, PA 15137-2725
(470) 657-9001
Mailing address
576 COLONIAL PARK DR STE 120, ROSWELL, GA 30075-3794
(470) 657-9001

Taxonomy

Speciality
Code
Description
License number
State
261QM3000X
Medically Fragile Infants and Children Day Care
Primary

Other

Enumeration date
06/29/2023
Last updated
06/29/2023
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