Organization
SAMARITANS-AT-LAST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVIS MENYA (CEO)
(610) 566-1361
Entity
Organization
Contact information
Practice address
1055 WESTLAKES DR, SUITE 300, BERWYN, PA 19312-2410
(610) 566-1361
(610) 500-5223
Mailing address
1055 WESTLAKES DR, SUITE 300, BERWYN, PA 19312-2410
(610) 517-5560
(610) 500-5223
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
19993601
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1022148690001
—
PA
05
—
1032084360001
—
PA
Enumeration date
07/19/2007
Last updated
04/27/2017
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