Organization
FIRELY HOME FOR KIDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER OLEKSA (BILLING MNG)
(215) 513-7455
Entity
Organization
Contact information
Practice address
14975 BERWICK TPKE, GILLETT, PA 16925-9137
(215) 513-7455
(215) 513-3031
Mailing address
364 MAPLE AVE, HARLEYSVILLE, PA 19438-2212
(215) 513-7455
(215) 513-3031
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
223450
PA
3140N1450X
Pediatric Skilled Nursing Facility
Primary
223450
PA
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
Other
Enumeration date
07/06/2015
Last updated
11/30/2016
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