| Compassionate Care Center LLC | |
|
10151 Bustleton Ave Unit C Philadelphia PA 19116-3718 | |
| (215) 676-6393 | |
| Not Available |
| Full Name | Compassionate Care Center LLC |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 10151 Bustleton Ave, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Polina Stolyarova (PRESIDENT) |
| Authorized Official Contact | 2156766393 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Compassionate Care Center LLC 10151 Bustleton Ave Unit C Philadelphia PA 19116-3718 | Compassionate Care Center LLC 10151 Bustleton Ave Unit C Philadelphia PA 19116-3718 Ph: (215) 676-6393 |
| NPI Number | 1518130335 |
|---|---|
| Provider Enumeration Date | 04/13/2008 |
| Last Update Date | 04/13/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518130335 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | MD418065 (Pennsylvania) | Primary |
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