| Sunshine Therapy Club Inc | |
|
410 W Township Line Rd Suite 4 Havertown PA 19083-5237 | |
| (610) 853-9919 | |
| (610) 853-9921 |
| Full Name | Sunshine Therapy Club Inc |
|---|---|
| Speciality | Social Worker |
| Location | 410 W Township Line Rd, Havertown, Pennsylvania |
| Authorized Official Name and Position | Taraya J Shirdan (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6108539919 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunshine Therapy Club Inc 410 W Township Line Rd Suite 4 Havertown PA 19083-5237 Ph: (610) 853-9919 | Sunshine Therapy Club Inc 410 W Township Line Rd Suite 4 Havertown PA 19083-5237 Ph: (610) 853-9919 |
| NPI Number | 1962687319 |
|---|---|
| Provider Enumeration Date | 01/04/2008 |
| Last Update Date | 03/24/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962687319 | NPI | - | NPPES |
| 1000061970006 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
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