Organization
CREATIVE INDEPENDENCE ALLIANCE, CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA PENDLETON (PRESIDENT/CEO)
(215) 385-4404
Entity
Organization
Contact information
Practice address
1212 E CHELTEN AVE, PHILADELPHIA, PA 19138-1929
(215) 385-4404
Mailing address
1212 E CHELTEN AVE, PHILADELPHIA, PA 19138-1929
(215) 385-4404
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
31783601
PA
Other
Enumeration date
12/08/2016
Last updated
12/08/2016
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