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Y & Y BOON CARE SERVICE INC NPI 1285206466


NPI Information

NPI: 1285206466
Provider Name: Y & Y BOON CARE SERVICE INC
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
3818 SPRING GARDEN ST
PHILADELPHIA, PA
ZIP 19104
Phone: (215) 964-5054
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Y & Y BOON CARE SERVICE INC is a community based residential treatment facility, intellectual and/or developmental disabilities in Philadelphia, PA. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. Y & Y BOON CARE SERVICE INC NPI is 1285206466. The provider is registered as an organization entity type.

The provider's business location address is:

3818 SPRING GARDEN ST
PHILADELPHIA, PA
ZIP 19104-326
Phone: (215) 964-5054

The provider's authorized official is Shanesha Denere Butler .
The authorized official title is Ceo and has the following contact phone number (215) 964-5054.

The enumeration date for this NPI number is 7/15/2021 and was last updated on 7/15/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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