Provider Demographics
NPI:1396990834
Name:INTERACTIVE COMMUNICATION LLC
Entity type:Organization
Organization Name:INTERACTIVE COMMUNICATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:FINLEY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:215-913-7112
Mailing Address - Street 1:4000 PRESIDENTIAL BOULEVARD
Mailing Address - Street 2:#1202
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19131-1721
Mailing Address - Country:US
Mailing Address - Phone:215-913-7112
Mailing Address - Fax:
Practice Address - Street 1:4000 PRESIDENTIAL BLVD
Practice Address - Street 2:#1202
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19131-1713
Practice Address - Country:US
Practice Address - Phone:215-913-7112
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-25
Last Update Date:2008-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0401XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
No251E00000XAgenciesHome Health
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)