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Contact Information

SONNY M NWACHUKU, MSA
721 CHURCH LN STE 1
YEADON, PA19050-3502
 Phone: 267-275-8478
 Fax: 267-275-8774
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Respite Care, Intellectual and/or Developmental Disabilities

385HR2060X
Indicates primary specialty

NPI Profile & details for

NPI # 1255094199
Entity Organization
Organization subpart 1 Not specified
Enumeration date 10/18/2021
Last updated 10/18/2021 - About 5 years ago
Identifiers
PA License # 25783601
PA Medicaid 102932041
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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