Organization
INTERACTIVE COMMUNICATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEBORAH ANN FINLEY PH.D. (PRESIDENT AND CEO)
(215) 913-7112
Entity
Organization
Contact information
Practice address
4000 PRESIDENTIAL BLVD, #1202, PHILADELPHIA, PA 19131-1713
(215) 913-7112
Mailing address
4000 PRESIDENTIAL BOULEVARD, #1202, PHILADELPHIA, PA 19131-1721
(215) 913-7112
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Enumeration date
11/25/2008
Last updated
11/25/2008
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