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Contact Information

EAST PARK REVITALIZATION ALLIANCE
1737 N 31ST ST
PHILADELPHIA, PA19121-2522
 Phone: 610-291-2481
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Case Management

251B00000X
 

Community/Behavioral Health

251S00000X
Indicates primary specialty

NPI Profile & details for EAST PARK REVITALIZATION ALLIANCE

NPI # 1891036356
LBN Legal business name EAST PARK REVITALIZATION ALLIANCE
Authorized official SUKU JOHN - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 03/08/2013
Last updated 03/08/2013 - About 13 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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