Organization
IMPAX SOLUTIONS INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS SAESHA SAMPSON IT SUPPORT (TREASURER)
(856) 956-6258
Entity
Organization
Contact information
Practice address
3009 W FLETCHER ST, PHILADELPHIA, PA 19132-3427
(856) 956-6258
Mailing address
PO BOX 13344, PHILADELPHIA, PA 19101-3344
(856) 956-6258
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
171W00000X
Contractor
—
—
251E00000X
Home Health Agency
—
—
347C00000X
Private Vehicle
—
—
385H00000X
Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
03/28/2022
Last updated
03/28/2022
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