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Desi'S Way LLC

Substance Abuse Rehabilitation Facility in Philadelphia, PA. Organization (NPI-2).

NPI number1033801287
StatusActive
Last updated in NPPESMay 25, 2023

Details

NPI
1033801287
Entity type
Organization (NPI-2)
Legal business name
Desi'S Way LLC
Organization subpart
No
Enumeration date
May 25, 2023
Certification date
May 25, 2023
Last updated
May 25, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
324500000X Substance Abuse Rehabilitation Facility––Yes

Practice location

2609 N 18th St
Philadelphia, PA 19132-3814

Phone 201-312-7631

Mailing address

2609 N 18th St
Philadelphia, PA 19132-3814

Phone 201-312-7631

Authorized official

Waymon Jones
Manager/Owner
2013127631

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