Organization
PATELZ
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEBBEH MOLUWOI BS, BSN,RN (OWNER)
(610) 506-0915
Entity
Organization
Contact information
Practice address
923 RUE MADORA, BEAR, DE 19701-2545
(610) 506-0915
Mailing address
2007 KATER ST, PHILADELPHIA, PA 19146-1312
(610) 506-0915
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/02/2024
Last updated
04/08/2024
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