Organization · Type 2 NPI

Life St. Mary

PACE Provider Organization · Trevose, PA

NPI number 1003052820 Active

Practice location

2500 Interplex Drive
Trevose, PA 19053-6943

Mailing address

1201 Langhorne-Newtown Rd.
Langhorne, PA 19047-1201

Specialties and licenses

TaxonomyCodeLicense
PACE Provider Organization Primary 251T00000XNone listed
Adult Day Care Clinic/Center 261QA0600XNone listed

PACE Provider Organization: A PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE ser…

About NPI 1003052820

Life St. Mary's National Provider Identifier is 1003052820, issued on Dec 29, 2008. The primary taxonomy on file is PACE Provider Organization (251T00000X), and the practice location is in Trevose, PA. The record was last updated on Apr 21, 2009.