Organization
GERMANTOWN ADULT DAY CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VOLODYMYR LISOVYY (PRESIDENT)
(267) 992-3766
Entity
Organization
Contact information
Practice address
4811 GERMANTOWN AVE, BLDG D, PHILADELPHIA, PA 19144-3014
(267) 992-3766
Mailing address
1568B STONEY LN, PHILADELPHIA, PA 19115-4279
(267) 992-3766
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
09/29/2015
Last updated
09/29/2015
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