Womanspace Ardmore in Ardmore - Substance Abuse Rehabilitation Facility
Womanspace Ardmore - NPI 1194889022
Womanspace Ardmore is a Substance Abuse Rehabilitation Facility in Ardmore, Pennsylvania. Womanspace Ardmore practices all healthcare services and medical treatments related to Substance Abuse Rehabilitation Facility. The NPI Number for Womanspace Ardmore is 1194889022. The last update date is 2010-05-27.
Womanspace Ardmore's current location address is 120 Ardmore Ave, Ardmore, Pennsylvania. You can contact this provider via phone number 6106498136 and fax number 6106494270. The mailing address for Womanspace Ardmore is 120 Ardmore Ave, Ardmore, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Womanspace Ardmore |
|---|---|
| Address | 120 Ardmore Ave, Ardmore, Pennsylvania |
| Phone Number | 6106498136 |
| Fax Number | 6106494270 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | AR COORDIN |
|---|---|
| Authorized Official Name | Mooney Loretta |
| Credentials | MS |
| Telephone Number | 2159510300 |
NPI Number Detail
| NPI Number | 1194889022 |
|---|---|
| Provider Enumeration Date | 2006-12-22 |
| Last Updated Date | 2010-05-27 |
Provider Mailing Address Detail
| Address | 120 Ardmore Ave |
|---|---|
| City | Ardmore |
| State | Pennsylvania (PA) |
| Post Code | 190031315 |
| Phone Number | 6106498136 |
| Fax Number | 6106494270 |
Provider's Primary Taxonomy Detail
| Speciality | Substance Abuse Rehabilitation Facility |
|---|---|
| Taxonomy | 324500000X |
| Licence No | 100001708022 |
|
Definition: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1000017080229 | PA | -- | |
| 153373-000 | PA | WOMANSPACE ARDMORE MAG |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Womanspace Ardmore by the Centers for Medicare & Medicaid Services?
The Womanspace Ardmore has been issued the NPI (National Provider Identifier) 1194889022 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Womanspace Ardmore is located?
The Womanspace Ardmore is situated at the following address: 120 Ardmore Ave, Ardmore, PA, 190031315.
What is the Womanspace Ardmore's area of specialization and corresponding taxonomy classification?
The Womanspace Ardmore's specialty field is Substance Abuse Rehabilitation Facility, and it falls under the taxonomy code 324500000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1194889022 to Womanspace Ardmore?
The Centers for Medicare & Medicaid Services originally issued the 1194889022 to Womanspace Ardmore on 2006-12-22.
When was the information regarding Womanspace Ardmore, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Womanspace Ardmore, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2010-05-27.