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NPI Code Detail

MEDICARE: SHELTERING ARMS LEAN ON WE

MEDICARE: SHELTERING ARMS LEAN ON WE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1311Z00000XCustodial Care Facility

General Provider Information

NPI Number : 1316557978
Entity Type Code : Organization
Provider Name (Legal Business Name) : SHELTERING ARMS LEAN ON WE
Provider Business Mailing Address
First Line : 469 ALCOTT ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19120-1101
Country : US
Telephone Number : 845-258-8372
Fax Number :
Provider Business Practice Location Address
First Line : 469 ALCOTT ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19120-1101
Country : US
Telephone Number : 845-258-8372
Fax Number :
Authorized Official
Title or Position : OWNER
Name : YVON PETIT FRERE
Credential :
Telephone Number : 845-258-8372
Provider Enumeration Date : 08/07/2020
Last Update Date : 12/30/2025

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Directions to “SHELTERING ARMS LEAN ON WE ” Practice Location

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