Prospect Ccmc, LLC

NPI #1073960068 in Chester, Pennsylvania

Provider Information

NPI Number: 1073960068
Entity Type: Organization
Organization Name: Prospect Ccmc, LLC
Primary Specialty: Case Management
Enumeration Date: May 19, 2016
Last Updated: Jan 11, 2021

Practice Location

Address: 2600 W 9TH ST
City: Chester
State: Pennsylvania
ZIP Code: 19013-2040
Phone: (610) 447-2000

Authorized Official

Name: ROBERT JON ELDERS
Title: SECRETARY
Phone: (714) 788-1249

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Management	251B00000X	Primary

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