3300 Henry Avenue Operating Company, LP
Nursing Care in Philadelphia, PA. Organization (NPI-2).
NPI number1477985372
StatusActive
Last updated in NPPESSep 23, 2024
Details
- NPI
- 1477985372
- Entity type
- Organization (NPI-2)
- Legal business name
- 3300 Henry Avenue Operating Company, LP
- Organization subpart
- No
- Enumeration date
- Aug 1, 2013
- Certification date
- Sep 23, 2024
- Last updated
- Sep 23, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251J00000X | Nursing Care | – | – | Yes |
| 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | – | – |
Other names
- Pediatric Specialty Care At Philadelphia (Doing Business As)
Practice location
3300 Henry AvePhiladelphia, PA 19129-1121
Phone 215-297-5555
Mailing address
500 Seneca St Ste 100Buffalo, NY 14204-1963
Phone 716-361-6636
Authorized official
Kimberly Kenworthy
Sr. Director Revenue Cycle Mgmt
7163616636
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