Healthcare Provider Details

I. General information

NPI: 1528620218
Provider Name (Legal Business Name): AGELESS HARMONY ADULT SENIOR DAY CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2019
Last Update Date: 07/02/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3024 PENN AVE
WEST LAWN PA
19609-1444
US

IV. Provider business mailing address

224 WEXHAM DR
READING PA
19607-2438
US

V. Phone/Fax

Practice location:
  • Phone: 610-685-2382
  • Fax:
Mailing address:
  • Phone: 610-621-4998
  • 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: CHARLES SHRAWDER
Title or Position: ADMINISTRATOR
Credential:
Phone: 610-406-7452