Organization
BARBARA GILLIAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA GILLIAM (OWNER)
(215) 847-7061
Entity
Organization
Contact information
Practice address
6243 LAWNDALE AVE, PHILADELPHIA, PA 19111-5705
(215) 847-7061
(215) 722-2354
Mailing address
6243 LAWNDALE AVE, PHILADELPHIA, PA 19111-5705
(215) 847-7061
(215) 722-2354
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
10/05/2015
Last updated
10/05/2015
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