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NPI 1609469832

NPI 1609469832 : PHILADELPHIA ARMS TOWNHOMES INC. : ELLENDALE, DE

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General NPI Number Information
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    NPI Number           |    1609469832
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    Entity Type          |    Organization 
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    Legal Business Name  |    PHILADELPHIA ARMS TOWNHOMES INC. 
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Dates
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    Enumeration Date     |    02/18/2021
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    Last Update Date     |    02/18/2021
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Provider Practice Location Address
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    Address Line         |    18514 PENTECOSTAL ST 
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    City                 |    ELLENDALE
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    State                |    DE
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    Zip                  |    19941-3358
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    Country              |    US
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    Telephone            |    302-422-8447
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    Fax                  |    302-422-8449
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Provider Business Mailing Address
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    Address Line         |    18514 PENTECOSTAL ST 
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    City                 |    ELLENDALE
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    State                |    DE
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    Zip                  |    19941-3358
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    Country              |    US
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    Telephone            |    302-422-8447
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    Fax                  |    302-422-8449
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Authorized Official
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    Title or Position    |    DIRECTOR
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    Name                 |     LEAH  BROWN 
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    Credential           |    MPA
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    Telephone            |    302-382-2201
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    324500000X
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    Taxonomy Name        |    Substance Abuse Rehabilitation Facility
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    License Number       |    
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    License Number State |    
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