Organization
BEAUTIFUL BLESSINGS SUPPORT COORDINATION AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATANYA NICOLES SMITH (DIRECTOR)
(215) 650-3232
Entity
Organization
Contact information
Practice address
5905 NASSAU RD, PHILADELPHIA, PA 19151-3525
(215) 650-3232
Mailing address
5905 NASSAU RD, PHILADELPHIA, PA 19151-3525
(215) 650-3232
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
09/11/2018
Last updated
09/11/2018
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