Samera Butler
Samera Butler is a PACE Provider Organization in Philadelphia, Pennsylvania. Practices as a sole proprietor. Registered with an NPI since 2014.
- In the registry since
- 2014
- Specialties on file
- 2
Practice location Address checks out
1213 Vine St Ste 108Philadelphia, PA 19107-1111
Phone: (215) 792-6884
Fax: (215) 395-8075
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Specialties & licences
| PACE Provider Organization (primary) | Taxonomy 251T00000X |
|---|---|
| In Home Supportive Care Agency | Taxonomy 253Z00000X |
Record details
| NPI number | 1083026082 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | May 24, 2014 |
| Last updated in NPPES | May 24, 2014 |
| Mailing address | 1213 Vine St Ste 108, Philadelphia, PA 19107-1111 |
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