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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