Organization
COMPASSION LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIKIA PETERSON (OWNER)
(267) 235-4243
Entity
Organization
Contact information
Practice address
5329 WAYNE AVE REAR, PHILADELPHIA, PA 19144-6201
(267) 335-2765
Mailing address
5329 WAYNE AVE, PHILADELPHIA, PA 19144-6201
(267) 335-2765
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
02/11/2025
Last updated
02/11/2025
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