Organization
PARADISE MANOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN B SPRAGUE (PRESIDENT BOARD OF DIRECTORS)
(215) 855-2697
Entity
Organization
Contact information
Practice address
206 E LINCOLN AVE, HATFIELD, PA 19440-2541
(215) 855-2697
Mailing address
206 E LINCOLN AVE, HATFIELD, PA 19440-2541
(215) 855-2697
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
A40280
PA
Other
Enumeration date
05/03/2007
Last updated
09/18/2007
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