Organization
FIRELY PEDIATRIC SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRIS OLEKSA (COO)
(215) 513-7455
Entity
Organization
Contact information
Practice address
254 BRYANS RD, NORRISTOWN, PA 19401-1306
(484) 322-2403
(484) 322-5403
Mailing address
364 MAPLE AVE, HARLEYSVILLE, PA 19438-2212
(155) 137-4552
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
144380
—
PA
Enumeration date
11/01/2018
Last updated
11/01/2018
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