Organization
SENIOR PRIDE ADULT DAY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARSHA JOHNSON (OWNER)
(215) 800-8751
Entity
Organization
Contact information
Practice address
30 E WALNUT LN, PHILADELPHIA, PA 19144-2003
(215) 800-8751
Mailing address
30 E WALNUT LN, PHILADELPHIA, PA 19144-2003
(215) 800-8751
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
26293601
PA
253Z00000X
In Home Supportive Care Agency
Primary
26293601
PA
Other
Enumeration date
10/06/2014
Last updated
11/19/2014
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