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Life St. Mary
Adult Day Care Clinic/Center in Trevose, Pennsylvania
NPI 1003052820

Life St. Mary is an Adult Day Care Clinic/Center based in Langhorne, PA and is specialized in Adult Day Care. Life St. Mary practices in Trevose, PA. The NPI Number for Life St. Mary is 1003052820 and holds a License No. (Pennsylvania).

The current practice location address for Life St. Mary is 2500 Interplex Drive, Trevose, PA and can be reached out via phone at 215-710-6114.

Location: 2500 Interplex Drive, Trevose, PA, 19047-1201
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1003052820
Provider Name
Life St. Mary
Credential
Provider Entity Type
Organization
Address
2500 Interplex Drive, Trevose, PA, 19047-1201
Phone Number
215-710-6114
Fax Number
Provider Enumeration Date
12/29/2008
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
H6551 01 CMS
institution
Provider Business Practice Location Address Details
Address
2500 Interplex Drive
City
Trevose
State
Pennsylvania
Zip
19053-6943
Phone Number
215-710-6114
Fax Number
person
Provider Business Mailing Address Details
Address
2500 Interplex Drive
City
Trevose
State
Pennsylvania
Zip
19053-6943
Phone Number
215-710-6114
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization
Speciality
-
Taxonomy
251T00000X
License No.
()
Definition
A PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site to provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Day Care
Taxonomy
261QA0600X
License No.
()
Definition
Definition to come...
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