Samera Butler

NPI #1083026082 in Philadelphia, Pennsylvania

Provider Information

NPI Number: 1083026082
Entity Type: Individual
Name: Samera Butler
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Program of All-Inclusive Care for the Elderly (PACE) Provider Organization
Enumeration Date: May 24, 2014
Last Updated: May 24, 2014

Practice Location

Address: 1213 VINE ST STE 108
City: Philadelphia
State: Pennsylvania
ZIP Code: 19107-1111
Phone: (215) 792-6884

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization	251T00000X	Primary
In Home Supportive Care	253Z00000X

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Organizations

Provider Name	Specialty	City
Innovage Pennsylvania Life, LLC Part of Innovage Pennsylvania Life - Allegheny	Program of All-Inclusive Care for the Elderly (PACE) Provider Organization	Philadelphia	AI Deep Dive
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Innovage Pennsylvania Life, LLC	Program of All-Inclusive Care for the Elderly (PACE) Provider Organization	Philadelphia	AI Deep Dive

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