Individual
ANTHONY PAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
19304 LONGVIEW AVE, MAPLE HEIGHTS, OH 44137-1733
(267) 581-3923
Mailing address
5025 GERMANTOWN AVE, PHILADELPHIA, PA 19144-5963
(215) 644-8341
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
04/08/2025
Last updated
08/14/2025
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