Organization
GENERAL HEALTHCARE AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIKE K KIKER (RECRUITER)
(610) 834-1122
Entity
Organization
Contact information
Practice address
4616 ASHVILLE ST, PHILADELPHIA, PA 19136
(215) 333-0975
Mailing address
4616 ASHVILLE ST, PHILADELPHIA, PA 19136-3227
(215) 333-0975
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/03/2015
Last updated
06/03/2015
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