LAUREN'S HOUSE NORTH PHILADELPHIA LLC NPI 1699813063

NPI Information

LAUREN'S HOUSE NORTH PHILADELPHIA, LLC is a medically fragile infants and children day care clinic center in Philadelphia, PA. The provider is an entity, facility, or distinct part of a facility specially equipped and staffed to provide care for medically fragile children with varied and complex care needs (e.g., enteral or parental feeding, ostomy care, respiratory/ventilator care, medications and therapies, etc.). LAUREN'S HOUSE NORTH PHILADELPHIA, LLC NPI is 1699813063. The provider is registered as an organization entity type.

The provider's business location address is:

1318 W CLEARFIELD ST
SUITE 300
PHILADELPHIA, PA
ZIP 19132-423
Phone: (888) 340-9430
Fax: (888) 225-0529

The provider's authorized official is Maurice D Glavin .
The authorized official title is Chairman and has the following contact phone number (484) 490-2100.

The CLIA number assigned to this NPI record is 39D1107295 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/1/2007 and was last updated on 8/22/2020.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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