| Providence Corporation | |
|
7928 Ridge Ave First Floor Philadelphia PA 19128-3011 | |
| (484) 746-0064 | |
| Not Available |
| Full Name | Providence Corporation |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 7928 Ridge Ave, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Elvira N Berry (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4847460064 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Providence Corporation 7928 Ridge Ave First Floor Philadelphia PA 19128-3011 Ph: (484) 746-0064 | Providence Corporation 7928 Ridge Ave First Floor Philadelphia PA 19128-3011 Ph: (484) 746-0064 |
| NPI Number | 1518320373 |
|---|---|
| Provider Enumeration Date | 03/30/2016 |
| Last Update Date | 05/26/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518320373 | NPI | - | NPPES |
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