Organization
Y & Y BOON CARE SERVICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANESHA DENERE BUTLER (CEO)
(215) 964-5054
Entity
Organization
Contact information
Practice address
3818 SPRING GARDEN ST, PHILADELPHIA, PA 19104-2326
(215) 964-5054
Mailing address
3818 SPRING GARDEN ST, PHILADELPHIA, PA 19104-2326
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/15/2021
Last updated
07/15/2021
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