Organization
UNITED CEREBRAL PALSY ASSN OF PHILADELPHIA & VICINITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIS A DIBBLE (EXECUTIVE DIRECTOR)
(215) 248-7602
Entity
Organization
Contact information
Practice address
102 E MERMAID LN, PHILADELPHIA, PA 19118-3507
(215) 242-4200
(215) 247-4229
Mailing address
102 E MERMAID LN, PHILADELPHIA, PA 19118-3507
(215) 242-4200
(215) 247-4229
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
171040
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100001510 0014
—
PA
Enumeration date
05/17/2007
Last updated
07/14/2008
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