Provider Demographics
NPI:1154639847
Name:FRANKIES WORLD FOUNDATION
Entity Type:Organization
Organization Name:FRANKIES WORLD FOUNDATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPECIAL ASSISTANT
Authorized Official - Prefix:MS
Authorized Official - First Name:MARIANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:BUCZEK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-763-3992
Mailing Address - Street 1:743 N 24TH ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19130-2539
Mailing Address - Country:US
Mailing Address - Phone:215-763-3992
Mailing Address - Fax:215-763-4146
Practice Address - Street 1:1011 POPLAR ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19123-1962
Practice Address - Country:US
Practice Address - Phone:215-763-0151
Practice Address - Fax:215-763-0122
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-16
Last Update Date:2010-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA20704001261QM3000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM3000XAmbulatory Health Care FacilitiesClinic/CenterMedically Fragile Infants and Children Day Care