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Organization

MORAVIA HEALTH NETWORK, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. C. FRANK IGWE (PRESIDENT)
(215) 717-8650
Entity
Organization

Contact information

Practice address
1500 WALNUT ST STE 1900, PHILADELPHIA, PA 19102
(215) 717-8650
(215) 717-7839
Mailing address
1500 WALNUT ST STE 1900, PHILADELPHIA, PA 19102-3509
(215) 717-8650
(215) 717-7839

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
32093601
PA
310400000X
Assisted Living Facility

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1028762650001
PA
Enumeration date
11/06/2011
Last updated
06/26/2018
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