Individual provider · Type 1 NPI

Samera Butler

PACE Provider Organization · Philadelphia, PA

NPI number 1083026082 Active

Practice location

1213 Vine St Ste 108
Philadelphia, PA 19107-1111

Fax (215) 395-8075

Specialties and licenses

TaxonomyCodeLicense
PACE Provider Organization Primary 251T00000XNone listed
In Home Supportive Care Agency 253Z00000XNone 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…

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About NPI 1083026082

Samera Butler's National Provider Identifier is 1083026082, issued on May 24, 2014. The primary taxonomy on file is PACE Provider Organization (251T00000X), and the practice location is in Philadelphia, PA. The record was last updated on May 24, 2014.