| The Church Of Philadelphia Inc. | |
|
2358 South Main Street Salt Lake City UT 84115 | |
| (801) 657-3422 | |
| Not Available |
| Full Name | The Church Of Philadelphia Inc. |
|---|---|
| Speciality | Home Health |
| Location | 2358 South Main Street, Salt Lake City, Utah |
| Authorized Official Name and Position | Teri J Evans (PASTOR) |
| Authorized Official Contact | 8016573422 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Church Of Philadelphia Inc. 2358 South Main Street Salt Lake City UT 84115 Ph: (801) 657-3422 | The Church Of Philadelphia Inc. 2358 South Main Street Salt Lake City UT 84115 Ph: (801) 657-3422 |
| NPI Number | 1104271238 |
|---|---|
| Provider Enumeration Date | 04/26/2016 |
| Last Update Date | 04/26/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104271238 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 251E00000X | Home Health | (* (Not Available)) | Primary |
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