Organization
NEW LIFE FOUNDATION OF PA
Active
Organization
NEW LIFE FOUNDATION OF PA
Active
Other names
New Life Foundation of PA
Organization subpart
No
Provider details
NPI number
Authorized official
ANNETTE FREY RN (ADMINISTRATOR)
(215) 298-9047
Entity
Organization
Contact information
Practice address
6701 OGONTZ AVE, PHILADELPHIA, PA 19126-2639
(215) 298-9047
(215) 298-9049
Mailing address
6701 OGONTZ AVE, PHILADELPHIA, PA 19126-2639
(215) 298-9047
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
123456
HOUSING
—
Enumeration date
01/12/2018
Last updated
01/12/2018
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