Organization
HEART AND SOUL SUPPORT, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTON LIVSHITS (PRESIDENT)
(215) 475-0425
Entity
Organization
Contact information
Practice address
10162 BUSTLETON AVE, PHILADELPHIA, PA 19116-3704
(215) 475-0425
Mailing address
10162 BUSTLETON AVE, PHILADELPHIA, PA 19116-3704
(215) 475-0425
(267) 538-6300
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
06/06/2014
Last updated
02/08/2016
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