Healthcare Provider Details

I. General information

NPI: 1841299880
Provider Name (Legal Business Name): UNITARIAN UNIVERSALIST HOUSE OF THE JOSEPH PRIESTLEY DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

224 W TULPEHOCKEN ST
PHILADELPHIA PA
19144-3210
US

IV. Provider business mailing address

224 W TULPEHOCKEN ST
PHILADELPHIA PA
19144-3210
US

V. Phone/Fax

Practice location:
  • Phone: 215-843-0809
  • Fax: 215-842-9215
Mailing address:
  • Phone: 215-843-0809
  • Fax: 215-842-9215

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number210202
License Number StatePA

VIII. Authorized Official

Name: PATRICIA TARABORRELLI
Title or Position: CONTROLLER
Credential:
Phone: 215-843-0809