Organization
MARTHAS WAY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANYA S BLAND (CEO)
(215) 847-9954
Entity
Organization
Contact information
Practice address
1319 MCFERRAN ST, PHILADELPHIA, PA 19140-2005
(215) 847-9540
Mailing address
1319 MCFERRAN ST, PHILADELPHIA, PA 19140-2005
(215) 847-9540
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/07/2019
Last updated
03/07/2019
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