institution
St Monica Manor
Parenteral & Enteral Nutrition Supplies (DME) in Philadelphia, Pennsylvania
NPI 1780751123

St Monica Manor is a Parenteral & Enteral Nutrition Supplies (DME) based in Philadelphia, PA and is specialized in Parenteral & Enteral Nutrition. St Monica Manor practices in Philadelphia, PA. The NPI Number for St Monica Manor is 1780751123 and holds a License No. 232602 (Pennsylvania).

The current practice location address for St Monica Manor is 2509 S 4Th St, Philadelphia, PA and can be reached out via phone at 215-271-1080 and via fax at 215-368-5254.

Location: 2509 S 4Th St, Philadelphia, PA, 19148-4712
institution
Provider Profile Details
NPI Number
1780751123
Provider Name
St Monica Manor
Credential
Provider Entity Type
Organization
Address
2509 S 4Th St, Philadelphia, PA, 19148-4712
Phone Number
215-271-1080
Fax Number
215-368-5254
Provider Enumeration Date
11/29/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5329640001 01 NSC DME SUPPLIER #
institution
Provider Business Practice Location Address Details
Address
2509 S 4Th St
City
State
Zip
19148-4712
Phone Number
215-271-1080
Fax Number
215-368-5254
person
Provider Business Mailing Address Details
Address
2509 S 4Th St
City
State
Zip
19148-4712
Phone Number
215-271-1080
Fax Number
215-368-5254
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Parenteral & Enteral Nutrition
Taxonomy
License No.
232602 (Pennsylvania)
Definition
Definition to come...
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