Organization
PCA CARE CONNECTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANN DANISH (EXECUTIVE DIRECTOR)
(215) 282-6500
Entity
Organization
Contact information
Practice address
642 N BROAD ST STE 300, PHILADELPHIA, PA 19130-3424
(215) 282-6500
(215) 282-6620
Mailing address
642 N BROAD ST STE 300, PHILADELPHIA, PA 19130-3424
(215) 282-6500
(215) 282-6620
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103620497-001
—
PA
Enumeration date
07/31/2019
Last updated
07/31/2019
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