Soar Corp | |
7500 Bristol Pike Levittown PA 19057 | |
(215) 464-4450 | |
(215) 464-4470 |
Full Name | Soar Corp |
---|---|
Speciality | Clinic/center - Methadone |
Location | 7500 Bristol Pike, Levittown, Pennsylvania |
Authorized Official Name and Position | Richard A Mangano (VICE PRESIDENT) |
Authorized Official Contact | 2154644450 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Soar Corp 9150 Marshall St Suite 18 Philadelphia PA 19114-2217 Ph: (215) 464-4450 | Soar Corp 7500 Bristol Pike Levittown PA 19057 Ph: (215) 464-4450 |
NPI Number | 1043765621 |
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Provider Enumeration Date | 08/24/2016 |
Last Update Date | 08/14/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043765621 | NPI | - | NPPES |
102055379 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
261QM2800X | Clinic/center - Methadone | (Pennsylvania) | Primary |
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