Home Away From Home Adult Care
Clinic/Center, Adult Day Care in Media, PA. Organization (NPI-2).
NPI number1609449172
StatusActive
Last updated in NPPESJul 21, 2021
Details
- NPI
- 1609449172
- Entity type
- Organization (NPI-2)
- Legal business name
- Home Away From Home Adult Care
- Organization subpart
- No
- Enumeration date
- Jul 21, 2021
- Certification date
- Jul 21, 2021
- Last updated
- Jul 21, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QA0600X | Clinic/Center, Adult Day Care | – | – | Yes |
Practice location
1211 N Providence RdMedia, PA 19063-1204
Phone 484-442-8370 · Fax 610-200-1234
Mailing address
1211 N Providence RdMedia, PA 19063-1204
Phone 484-442-8370
Authorized official
Diane Ferry
Owner
4844428370
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