| Ltc Treatment Center Inc | |
|
7712 Buist Ave Apt B Philadelphia PA 19153-1705 | |
| (215) 282-6640 | |
| Not Available |
| Full Name | Ltc Treatment Center Inc |
|---|---|
| Speciality | General Practice |
| Location | 7712 Buist Ave Apt B, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Matthew Ranwweiler (DIRECTOR) |
| Authorized Official Contact | 2152826640 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ltc Treatment Center Inc 3720 Spruce St # 318 Philadelphia PA 19104-4115 Ph: (215) 282-6640 | Ltc Treatment Center Inc 7712 Buist Ave Apt B Philadelphia PA 19153-1705 Ph: (215) 282-6640 |
| NPI Number | 1366008260 |
|---|---|
| Provider Enumeration Date | 05/15/2019 |
| Last Update Date | 05/15/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366008260 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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