Organization
MID COUNTY SENIOR SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LESA SULIMAY (EXECUTIVE DIRECTOR)
(610) 353-6642
Entity
Organization
Contact information
Practice address
1500 GARRETT RD, BARCLAY SQUARE ADULT DAY SERVICES, UPPER DARBY, PA 19082-4519
(610) 626-0662
(610) 626-0668
Mailing address
22 MEDIA LINE RD, NEWTOWN SQUARE, PA 19073-4601
(610) 353-6642
(610) 353-7950
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
301430
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000058970002
—
PA
05
—
1000058970006
—
PA
Enumeration date
12/06/2006
Last updated
08/22/2020
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