Embolden Community Allies

LBN: Embolden Community Allies
Embolden Community Allies is an health care organization with primary practice located at 4000 Gypsy Ln Unit 204 , Philadelphia PA 19129-5405. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Embolden Community Allies can be contacted via phone (267) 810-4866, or through Muchoki, Cindi via phone (267) 810-4866.

Contact Information

Primary practice address
4000 Gypsy Ln Unit 204 Philadelphia PA 19129-5405
Phone: (267) 810-4866
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Muchoki, Cindi
Phone: (267) 810-4866

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X

Profile Details

NPI number 1104463736
LBN Legal business name Embolden Community Allies
DBA Doing business as
Authorized official Muchoki, Cindi
Entity Organization
Organization subpart 1 No
Enumeration date Dec 2nd, 2019
Last updated Dec 2nd, 2019 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1104463736 NPPES
Pennsylvania MEDICAID 103643212

Popular Providers