Organization
3938 GLEN DRIVE OPERATING COMPANY, LP
Active
Other names
Pediatric Specialty Care at Doylestown
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY KENWORTHY (SR. DIRECTOR REVENUE CYCLE MGMT)
(716) 361-6636
Entity
Organization
Contact information
Practice address
3938 GLEN DR, DOYLESTOWN, PA 18902-5436
(215) 340-1364
Mailing address
500 SENECA ST STE 100, BUFFALO, NY 14204-1963
(716) 361-6636
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
136670
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
136670
PENNSYLVANIA DEPARTMETN OF PUBLIC WELFARE
PA
Enumeration date
02/11/2011
Last updated
09/23/2024
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