Organization
TRINITY HEALTH LIFE PENNSYLVANIA, INC.
Active
Parent organization
TRINITY HEALTH LIFE PENNSYLVANIA, INC
Other names
Mercy LIFE - West Philadelphia
Organization subpart
Yes
Provider details
NPI number
Legal business name
TRINITY HEALTH LIFE PENNSYLVANIA, INC
Authorized official
MRS. ANNE M LEWIS (VICE PRESIDENT STRATEGY AND GROWTH)
(406) 669-3332
Entity
Organization
Contact information
Practice address
4508 CHESTNUT ST, PHILADELPHIA, PA 19139-3608
(215) 573-7200
Mailing address
20255 VICTOR PKWY, LIVONIA, MI 48152-7018
(734) 343-0717
(248) 347-5201
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
—
—
Other
Enumeration date
03/03/2016
Last updated
03/03/2016
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