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NPI Code Detail

MEDICARE: COMPASSION LIVING

MEDICARE: COMPASSION LIVING
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251C00000XDevelopmentally Disabled Services Day Training Agency
2251E00000XHome Health Agency
3251J00000XNursing Care Agency
4253Z00000XIn Home Supportive Care Agency
5322D00000XEmotionally Disturbed Childrens' Residential Treatment Facility
6385H00000XRespite Care
7251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1396550901
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMPASSION LIVING
Provider Business Mailing Address
First Line : 5329 WAYNE AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19144-6201
Country : US
Telephone Number : 267-335-2765
Fax Number :
Provider Business Practice Location Address
First Line : 5329 WAYNE AVE REAR
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19144-6201
Country : US
Telephone Number : 267-335-2765
Fax Number :
Authorized Official
Title or Position : OWNER
Name : NIKIA PETERSON
Credential :
Telephone Number : 267-235-4243
Provider Enumeration Date : 02/11/2025
Last Update Date : 02/11/2025

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Directions to “COMPASSION LIVING ” Practice Location

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