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General NPI Number Information
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NPI Number | 1316557978
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Entity Type | Organization
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Legal Business Name | SHELTERING ARMS LEAN ON WE
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Dates
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Enumeration Date | 08/07/2020
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Last Update Date | 12/30/2025
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Provider Practice Location Address
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Address Line | 469 ALCOTT ST
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City | PHILADELPHIA
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State | PA
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Zip | 19120-1101
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Country | US
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Telephone | 845-258-8372
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Fax |
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Provider Business Mailing Address
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Address Line | 469 ALCOTT ST
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City | PHILADELPHIA
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State | PA
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Zip | 19120-1101
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Country | US
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Telephone | 845-258-8372
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | YVON PETIT FRERE
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Credential |
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Telephone | 845-258-8372
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311Z00000X
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Taxonomy Name | Custodial Care Facility
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License Number |
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License Number State |
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