Gaudenzia Drc Inc
LBN: Gaudenzia Drc Inc
Gaudenzia Drc Inc is an health care organization with primary practice located at 3200 Henry Ave , Philadelphia PA 19129-1137. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder. Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder is the primary health care specialty.
Gaudenzia Drc Inc can be contacted via phone (215) 991-9700, or through Moyle, Michael J via phone (610) 239-9600.
Contact Information
Primary practice address
3200 Henry Ave
Philadelphia PA 19129-1137
Phone: (215) 991-9700
Fax: (215) 991-9796
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X | 800103 | Pennsylvania |
| Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder | 261QR0405X | 800103 | Pennsylvania |
Profile Details
| NPI number | 1073736104 |
|---|---|
| LBN Legal business name | Gaudenzia Drc Inc |
| DBA Doing business as | |
| Authorized official | Moyle, Michael J J.D. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 10th, 2007 |
| Last updated | Jul 19th, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073736104 | NPPES |
| Pennsylvania | MEDICAID | 0019613780009 |
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