Organization
FAITH & HOPE BOUTIQUE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BONNIE SCALFARO (PRESIDENT)
(215) 885-1143
Entity
Organization
Contact information
Practice address
3400 CIVIC CENTER BLVD, PERELMAN CTR. 1W SUITE 680, PHILADELPHIA, PA 19104-5127
(215) 615-3321
(215) 615-3348
Mailing address
3400 CIVIC CENTER BLVD, PERELMAN CTR. 1W SUITE 680, PHILADELPHIA, PA 19104-5127
(215) 615-3321
(215) 615-3348
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
03/29/2008
Last updated
07/15/2010
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