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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LEGACY RESIDENTIAL PROGRAM

Active Organization

Case Management Agency · PHILADELPHIA, PA

Registration Details

NPI Number
1003506171
Provider Type
Organization
NPI Issued
May 11, 2023 (2.962984293134 yrs)
Last Updated
May 11, 2023

Practice Information

Address
2156 N 30TH ST
PHILADELPHIA, PA, 191211101
Browse PA providers · Browse ZIP 19121
Phone
2673155124
Fax
2673243106
Primary Specialty
Case Management Agency
251B00000X

Other Case Management Agency Organizations in PHILADELPHIA, PA

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.