Organization
EASTER SEALS OF SOUTHEASTERN PENNSYLVANIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IVY LEWIS (DIRECTOR OF FINANCE/CFO)
(267) 292-6018
Entity
Organization
Contact information
Practice address
3975 CONSHOHOCKEN AVE, PHILADELPHIA, PA 19131-5426
(215) 879-3542
(215) 879-8424
Mailing address
3975 CONSHOHOCKEN AVE, PHILADELPHIA, PA 19131-5426
(215) 879-1000
(215) 879-8424
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000005500004
—
PA
Enumeration date
02/15/2007
Last updated
12/14/2016
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