Organization
VERNON CARE LIVING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS GORMAH PINKY KOLLEH (PART OWNER)
(215) 758-7136
Entity
Organization
Contact information
Practice address
729 E VERNON RD, PHILADELPHIA, PA 19119-1502
(215) 758-7136
Mailing address
1435 BOGGS RD, APARTMENT 1018, DULUTH, GA 30096-1201
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/04/2009
Last updated
11/04/2009
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