Organization
A TIME TO REMEMBER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAQUITHA SHANTELL PHILLIPS (DIRECTOR)
(610) 323-1676
Entity
Organization
Contact information
Practice address
1300 N CHARLOTTE ST STE 10, POTTSTOWN, PA 19464-2351
(610) 323-1676
Mailing address
1300 N CHARLOTTE ST STE 10, POTTSTOWN, PA 19464-2351
(610) 323-1676
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103848748
—
PA
05
—
103848748-0001
—
PA
Enumeration date
03/08/2021
Last updated
03/08/2021
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