Organization
A & T 215 HOLDINGS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS ATIYA GROOMES (MANAGING MEMBER)
(267) 977-0121
Entity
Organization
Contact information
Practice address
1242 S 20TH ST, PHILADELPHIA, PA 19146-4338
(267) 977-0121
Mailing address
1242 S 20TH ST, PHILADELPHIA, PA 19146-4338
(267) 977-0121
Taxonomy
Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
—
—
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
07/27/2023
Last updated
07/27/2023
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