Healthcare Provider Details

I. General information

NPI: 1134295546
Provider Name (Legal Business Name): PARTNERS IN CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/28/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

214 E BALTIMORE AVE
CLIFTON HEIGHTS PA
19018-1634
US

IV. Provider business mailing address

214 E BALTIMORE AVE
CLIFTON HEIGHTS PA
19018-1634
US

V. Phone/Fax

Practice location:
  • Phone: 610-626-4270
  • Fax:
Mailing address:
  • Phone: 610-626-4270
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: RUSSELL JIRIK
Title or Position: ADMINISTRATOR
Credential:
Phone: 610-626-4270