Organization
MY COMMUNITY MY WAY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BEVERLY MOORE (PRESIDENT/CEO)
(215) 877-9224
Entity
Organization
Contact information
Practice address
1715 NORTH FELTON STREET, PHILADELPHIA, PA 19151
(215) 877-9224
Mailing address
1715 NORTH FELTON STREET, PHILADELPHIA, PA 19151
(215) 877-9224
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
251C00000X
PA
Other
Enumeration date
06/26/2014
Last updated
06/26/2014
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