MEDICARE: ST. FRANCIS-ST JOSEPH HOMES FOR CHILDREN

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
1	261QM0855X	Adolescent and Children Mental Health Clinic/Center	120760	PA

General Provider Information

NPI Number	:	1356487078
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ST. FRANCIS-ST JOSEPH HOMES FOR CHILDREN

Provider Business Mailing Address
First Line	:	3400 BRISTOL PIKE
Second Line	:
City	:	BENSALEM
State	:	PA
Zip	:	19020
Country	:	US
Telephone Number	:	215-638-9310
Fax Number	:	215-244-9439

Provider Business Practice Location Address
First Line	:	3400 BRISTOL PIKE
Second Line	:
City	:	BENSALEM
State	:	PA
Zip	:	19020
Country	:	US
Telephone Number	:	215-638-9310
Fax Number	:	215-244-9439

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MR. FRANCIS SWIACKI
Credential	:	LSW
Telephone Number	:	215-642-3083

Provider Enumeration Date	:	01/29/2007
Last Update Date	:	12/31/2007

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