Organization
PENNSYLVANIA DEVELOPMENT AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NATASHA HUDSON (EXECUTIVE DIRECTOR)
(844) 812-9618
Entity
Organization
Contact information
Practice address
308 W CHELTEN AVE, PHILADELPHIA, PA 19144-3859
(844) 812-9618
Mailing address
308 W CHELTEN AVE, PHILADELPHIA, PA 19144-3859
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1032331700001
—
PA
Enumeration date
10/31/2018
Last updated
10/31/2018
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