Healthcare Provider Details

I. General information

NPI: 1235591074
Provider Name (Legal Business Name): ADVOCATES OUTREACH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/22/2016
Last Update Date: 03/22/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

406 HOWELL RD
EXTON PA
19341-1716
US

IV. Provider business mailing address

406 HOWELL RD
EXTON PA
19341-1716
US

V. Phone/Fax

Practice location:
  • Phone: 610-547-3613
  • Fax:
Mailing address:
  • Phone: 610-547-3613
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: DAWN KUHN
Title or Position: PRESIDENT
Credential:
Phone: 610-547-3613