Provider Demographics
NPI:1316166515
Name:FRIENDS HOSPICE PROJECT OF PHILADELPHIA
Entity type:Organization
Organization Name:FRIENDS HOSPICE PROJECT OF PHILADELPHIA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TYLAANN
Authorized Official - Middle Name:
Authorized Official - Last Name:BURGER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:215-925-6848
Mailing Address - Street 1:706 W GIRARD AVE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19123-1313
Mailing Address - Country:US
Mailing Address - Phone:215-925-6848
Mailing Address - Fax:215-925-6846
Practice Address - Street 1:706 W GIRARD AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19123-1313
Practice Address - Country:US
Practice Address - Phone:215-925-6848
Practice Address - Fax:215-925-6846
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-25
Last Update Date:2008-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA16941601251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based