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General NPI Number Information
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NPI Number | 1629114350
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Entity Type | Organization
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Legal Business Name | ST. FRANCIS-ST JOSEPH HOMES FOR CHILDREN
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Dates
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Enumeration Date | 01/29/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2 GOBLE COURT FAIRLESS HILLS
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City | FAIRLESS HILLS
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State | PA
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Zip | 19030
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Country | US
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Telephone | 215-946-2960
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Fax |
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Provider Business Mailing Address
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Address Line | 3400 BRISTOL PIKE
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City | BENSALEM
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State | PA
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Zip | 19020
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Country | US
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Telephone | 215-638-9310
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Fax | 215-244-9439
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | FRANCIS SWIACKI JR.
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Credential | LSW
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Telephone | 215-642-3083
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 323P00000X
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Taxonomy Name | Psychiatric Residential Treatment Facility
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License Number | 193260
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License Number State | PA
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