Organization
PROSPECT CCMC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT JON ELDERS (SECRETARY)
(714) 788-1249
Entity
Organization
Contact information
Practice address
200 W SPROUL RD, SPRINGFIELD, PA 19064-2016
(610) 284-0700
Mailing address
200 W SPROUL RD, SPRINGFIELD, PA 19064-2016
(610) 284-0700
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
03/17/2016
Last updated
01/15/2021
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