Organization
CHILDREN'S HOSPITAL OF PHILADELPHIA
Active
Parent organization
CHILDREN'S HOSPITAL OF PHILADELPHIA
Other names
Children's Hospital Home Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHILDREN'S HOSPITAL OF PHILADELPHIA
Authorized official
LORI CIARDI PHARM D (SR. DIRECTOR HOME CARE)
(267) 425-9089
Entity
Organization
Contact information
Practice address
3000 HORIZON DR, KING OF PRUSSIA, PA 19406-2626
(800) 866-1242
(610) 992-1040
Mailing address
3000 HORIZON DR, KING OF PRUSSIA, PA 19406-2626
(800) 866-1242
(610) 992-1040
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
Primary
748105
PA
3336H0001X
Home Infusion Therapy Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0002936000
INDEPENDENCE BLUE CROSS
PA
05
—
1007709910102
—
PA
05
—
1007709910113
—
PA
01
—
5932558
AETNA PPO
PA
01
—
60700
KEYSTONE MERCY HEALTH
PA
01
—
83467
AETNA HMO
PA
Enumeration date
11/09/2006
Last updated
12/16/2019
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