Organization
LAUREN'S HOUSE NORTH PHILADELPHIA, LLC
Active
Organization
LAUREN'S HOUSE NORTH PHILADELPHIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MAURICE D GLAVIN (CHAIRMAN)
(484) 490-2100
Entity
Organization
Contact information
Practice address
1318 W CLEARFIELD ST, SUITE 300, PHILADELPHIA, PA 19132-2423
(888) 340-9430
(888) 225-0529
Mailing address
17 CREEK PKWY, SUITE 200, BOOTHWYN, PA 19061-3148
(888) 340-9420
(888) 225-0529
Taxonomy
Speciality
Code
Description
License number
State
261QM3000X
Medically Fragile Infants and Children Day Care
Primary
20754001
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
212512
—
PA
Enumeration date
02/01/2007
Last updated
08/22/2020
Update your record
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