| Gaudenzia Kindred Hopuse | |
|
1030 S Concord Rd West Chester PA 19382-7407 | |
| (610) 399-6571 | |
| (610) 399-0950 |
| Full Name | Gaudenzia Kindred Hopuse |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 1030 S Concord Rd, West Chester, Pennsylvania |
| Authorized Official Name and Position | Mike Williams (SR. CONTRACTING MANAGER) |
| Authorized Official Contact | 4843383731 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gaudenzia Kindred Hopuse 106 W Main St Norristown PA 19401-4716 Ph: (610) 239-9600 | Gaudenzia Kindred Hopuse 1030 S Concord Rd West Chester PA 19382-7407 Ph: (610) 399-6571 |
| NPI Number | 1932233061 |
|---|---|
| Provider Enumeration Date | 03/14/2007 |
| Last Update Date | 03/10/2022 |
| Certification Date | 03/10/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932233061 | NPI | - | NPPES |
| 1002285890046 | Medicaid | PA | |
| 1002285890045 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 157039 (Pennsylvania) | Secondary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | 157039 (Pennsylvania) | Primary |
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