Organization
FAMILY SUPPORT CIRCLE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELNA POULARD ED.D (PRESIDENT/FOUNDER)
(404) 917-9765
Entity
Organization
Contact information
Practice address
2059 E CHELTEN AVE, PHILADELPHIA, PA 19138-3043
(267) 335-5857
(267) 385-6119
Mailing address
6600 N 12TH ST, PHILADELPHIA, PA 19126-3201
(267) 329-9046
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
347C00000X
Private Vehicle
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
11/29/2011
Last updated
10/04/2018
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