Prospect Ccmc, LLC
NPI #1245684380 in Chester, Pennsylvania
Provider Information
- NPI Number
- 1245684380
- Entity Type
- Organization
- Organization Name
- Prospect Ccmc, LLC
- Primary Specialty
- Respite Care
- Enumeration Date
- Apr 14, 2016
- Last Updated
- Jan 15, 2021
Practice Location
- Address
- 301 W 15TH ST
- City
- Chester
- State
- Pennsylvania
- ZIP Code
- 19013-5300
- Phone
- (610) 619-8700
Authorized Official
- Name
- ROBERT JON ELDERS
- Title
- SECRETARY
- Phone
- (714) 788-1249
Specialties & Taxonomy Codes
| Specialty |
|---|
| Respite Care |
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