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Organization

LOWER PROVIDENCE COMMUNITY CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. GENA MARIE SCHLEGEL (EXECUTIVE DIRECTOR)
(610) 539-8465
Entity
Organization

Contact information

Practice address
101 HILLSIDE AVE, EAGLEVILLE, PA 19403
(610) 539-8465
(610) 539-8920
Mailing address
PO BOX 8, EAGLEVILLE, PA 19408
(610) 539-8465
(610) 539-8920

Taxonomy

Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
03260
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0010240160002
PA
Enumeration date
06/02/2006
Last updated
10/09/2007
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