Organization
FOREVER COMFORTABLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DOROTHY M POLES BSHS-HEALTHCARE MGMT (CO-OWNER)
(610) 209-9661
Entity
Organization
Contact information
Practice address
5504 WESTFORD RD, PHILADELPHIA, PA 19120-2642
(610) 314-0960
(610) 314-0960
Mailing address
PO BOX 24468, PHILADELPHIA, PA 19120-0168
(610) 314-0960
(610) 314-0960
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
310400000X
Assisted Living Facility
—
—
Other
Enumeration date
09/03/2015
Last updated
09/03/2015
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