| Joanne Stiteler Senior Care, Llc | |
|
931 North Ave Springfield PA 19064-3721 | |
| (484) 477-5425 | |
| Not Available |
| Full Name | Joanne Stiteler Senior Care, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 931 North Ave, Springfield, Pennsylvania |
| Authorized Official Name and Position | Joanne Stiteler (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 4844775425 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Joanne Stiteler Senior Care, Llc 931 North Ave Springfield PA 19064-3721 Ph: (484) 477-5425 | Joanne Stiteler Senior Care, Llc 931 North Ave Springfield PA 19064-3721 Ph: (484) 477-5425 |
| NPI Number | 1851762181 |
|---|---|
| Provider Enumeration Date | 10/13/2015 |
| Last Update Date | 10/13/2015 |
| Medicare PECOS PAC ID | 2668782301 |
|---|---|
| Medicare Enrollment ID | O20151109000414 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851762181 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | CW018705 (Pennsylvania) | Primary |
| Provider Name | Joanne Stiteler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467823872 PECOS PAC ID: 6800106550 Enrollment ID: I20151109000620 |
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