Organization
PEDIATRIC STARS PPECC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERICA CONTRERAS (OWNER)
(484) 426-6724
Entity
Organization
Contact information
Practice address
2437 PLAZA CT, BATH, PA 18014-8762
(610) 365-2252
(610) 365-2355
Mailing address
2437 PLAZA CT, BATH, PA 18014-8762
(610) 365-2252
(610) 365-2355
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
—
PA
261QM3000X
Medically Fragile Infants and Children Day Care
Primary
—
—
3140N1450X
Pediatric Skilled Nursing Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043166250001
—
PA
Enumeration date
10/17/2011
Last updated
03/18/2026
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