Organization
VIRTUAL PREVENTIVE CARE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATINA CARTER GEIGER (CEO)
(215) 847-7711
Entity
Organization
Contact information
Practice address
99 HAMILTON CT, PENNSAUKEN, NJ 08110-1241
(215) 847-7711
(610) 734-0272
Mailing address
7018 SAYBROOK AVE, PHILADELPHIA, PA 19142-1124
(215) 847-7711
(610) 734-0272
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320700000X
Physical Disabilities Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
342000000X
Transportation Network Company
—
—
347E00000X
Transportation Broker
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
05/01/2024
Last updated
05/01/2024
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