Organization
UCP OF PHILADELPHIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIS A DIBBLE (EXECUTIVE DIRECTOR)
(215) 248-7602
Entity
Organization
Contact information
Practice address
102 E MERMAID LN, PHILADELPHIA, PA 19118-3507
(215) 248-7602
(215) 247-4229
Mailing address
102 E MERMAID LN, PHILADELPHIA, PA 19118-3507
(215) 248-7602
(215) 247-4229
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
139620
PA
Other
Enumeration date
08/18/2008
Last updated
08/18/2008
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