Organization
PLATINUM BASE CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON O. REED (CEO)
(267) 850-3756
Entity
Organization
Contact information
Practice address
1021 E DORSET ST, PHILADELPHIA, PA 19150-3101
(267) 850-3756
Mailing address
1021 E DORSET ST, PHILADELPHIA, PA 19150-3101
(267) 850-3756
Taxonomy
Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
Primary
—
—
Other
Enumeration date
03/27/2024
Last updated
03/27/2024
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