Organization
ATR NUTRITION CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERRESE G RICE REGISTER DIETITIAN (VICE PRESIDENT)
(215) 225-0333
Entity
Organization
Contact information
Practice address
3858 PULASKI AVE, PHILADELPHIA, PA 19140-3540
(215) 225-0333
(215) 225-0380
Mailing address
3858 PULASKI AVE, PHILADELPHIA, PA 19140-3540
(215) 225-0333
(215) 225-0380
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
DN001597
PA
Other
Enumeration date
08/21/2012
Last updated
08/21/2012
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