Organization Name: | PAIN SOLUTION CENTERS OF PHILADELPHIA |
NPI Number: | 1861752081 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STEPHEN F FICCHI (OWNER) |
Mailing Address: | 3070 Bristol Pike Bldg#1, Suite 215 Bensalem |
State: | PA US |
Postal Code: | 190205364 |
Phone Number: | 2157509600 |
Fax Number: | 2673320948 |
NPI Enumeration Date: | 05/22/2012 |
NPI Last Update Date: | 03/31/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 320700000X |
License Number: | OS3881L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Residential Treatment Facilities |
Taxonomy Classification: | Residential Treatment Facility, Physical Disabilities |
Taxonomy Specialization: | |
Taxonomy Definition: | A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |