FOOTPRINTS EASTERN PA LLC NPI 1093232530

NPI Information

  • NPI: 1093232530
  • Provider Name: FOOTPRINTS EASTERN PA LLC
  • Classification: Clinic/Center - 261QR0405X
  • Specialization: Rehabilitation, Substance Use Disorder
  • Entity Type: Organization
  • Doing Business As: FOOTPRINTS TO RECOVERY
  • Address: 992 OLD EAGLE SCHOOL RD STE 904
    WAYNE, PA
    ZIP 19087
  • Phone: (877) 293-7150

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NPI Details

FOOTPRINTS EASTERN PA LLC is a rehabilitation and substance use disorder clinic center in Wayne, PA. FOOTPRINTS EASTERN PA LLC NPI is 1093232530. The provider is registered as an organization entity type.
The provider Is Doing Business As Footprints To Recovery.

The provider's business location address is:

992 OLD EAGLE SCHOOL RD STE 904
WAYNE, PA
ZIP 19087-803
Phone: (877) 293-7150

The provider's authorized official is Yeshaya Markovits .
The authorized official title is Cfo and has the following contact phone number (732) 903-1964.

The enumeration date for this NPI number is 8/25/2017 and was last updated on 8/25/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR0405XClinic/CenterRehabilitation, Substance Use DisorderYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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