Organization
KATER LONG CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK WAYNE HENNING (OWNER/PRESIDENT)
(215) 987-6543
Entity
Organization
Contact information
Practice address
51 N 3RD ST, PHILADELPHIA, PA 19106-4517
(215) 987-6543
Mailing address
51 N 3RD ST, PHILADELPHIA, PA 19106-4517
(215) 987-6543
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/28/2010
Last updated
01/28/2010
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