Organization
PHENOMENAL MINDS DAYCARE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEMEKA BETHUNE LPN (OWNER)
(267) 586-4820
Entity
Organization
Contact information
Practice address
5718 RISING SUN AVE, PHILADELPHIA, PA 19120-1631
(267) 586-4820
Mailing address
5718 RISING SUN AVE, PHILADELPHIA, PA 19120-1631
(267) 586-4820
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Enumeration date
05/05/2021
Last updated
05/05/2021
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