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Organization

PROSPECT CCMC, LLC

Active
Other names
The Delco Academy
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT JON ELDERS (SECRETARY)
(714) 788-1249
Entity
Organization

Contact information

Practice address
800 MACDADE BLVD, COLLINGDALE, PA 19023-3826
(310) 943-4500
Mailing address
800 MACDADE BLVD, COLLINGDALE, PA 19023-3826

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Enumeration date
07/02/2019
Last updated
01/15/2021
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