Organization
MY COMMUNITY MY WAY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BEVERLY WRAGG MOORE (EXECUTIVE DIRECTOR)
(215) 792-6690
Entity
Organization
Contact information
Practice address
5211 N LAWRENCE ST, PHILADELPHIA, PA 19120-3305
(215) 792-6690
Mailing address
PO BOX 54, MERION STATION, PA 19066-0054
(215) 792-6690
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
11/25/2015
Last updated
11/25/2015
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