Organization
MID COUNTY SENIOR SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LESA SULIMAY (EXECUTIVE DIRECTOR)
(610) 353-6642
Entity
Organization
Contact information
Practice address
1991 S SPROUT RD, SUITE 850 LAWRENCE PARK ADULT DAY SERVICES, BROOMALL, PA 19008-3519
(610) 325-1600
(610) 325-1495
Mailing address
22 MEDIA LINE RD, NEWTOWN SQUARE, PA 19073-4601
(610) 353-6642
(610) 353-7950
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
300140
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000058970003
—
PA
05
—
1000058970007
—
PA
Enumeration date
12/06/2006
Last updated
08/22/2020
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