39D2117157 CLIA NUMBER - NEW VITAE SOUTH 6TH STREET

Laboratory Demographics

CLIA Number: 39D2117157

Facility Name: NEW VITAE SOUTH 6TH STREET

Facility Address:
1905-1909 S 6TH STREET
PHILADELPHIA, PA
ZIP 19148
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Facility Phone Number: 215 551-1382

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1033565916

Taxonomy: 251S00000X - Community/Behavioral Health
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

CLIA Record

Field Name	Field Value
CLIA Number	39D2117157
LAB Type	Assisted Living Facility
Facility Name	NEW VITAE SOUTH 6TH STREET
Street	1905-1909 S 6TH STREET
City	PHILADELPHIA
State	PA
ZIP	19148
Phone	215 551-1382
CertificateType	4
CertificateEffectiveDate	8/10/2022
CertificateExpirationDate	8/9/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024