Organization
PERSONAL TOUCH PROFESSIONAL SERVICES II
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAHIRA DOCKERY CRNP (CEO)
(267) 808-8810
Entity
Organization
Contact information
Practice address
6603 N GRATZ ST, PHILADELPHIA, PA 19126-2633
(267) 808-8810
Mailing address
93 OLD YORK RD # 1-526, JENKINTOWN, PA 19046-3925
(267) 291-4513
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/06/2019
Last updated
03/06/2019
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