Organization
ADONNYA'S ANGEL ATTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANTOINETTE DENISE MYERS RNBSN (ADMINISTRATOR)
(215) 500-5707
Entity
Organization
Contact information
Practice address
116 ALBERT AVE, ALDAN, PA 19018-3803
(215) 500-5707
Mailing address
116 ALBERT AVE, ALDAN, PA 19018-3803
(215) 500-5707
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
RN310515L
PA
261QM3000X
Medically Fragile Infants and Children Day Care
Primary
RN310515L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN310515L
COMMONWEALTH OF PENNSYLVANIA
PA
Enumeration date
12/18/2009
Last updated
12/18/2009
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