Provider Demographics
NPI:1740721604
Name:FOREMOST COMPREHENSIVE HEALTH
Entity type:Organization
Organization Name:FOREMOST COMPREHENSIVE HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:SOTONYE
Authorized Official - Middle Name:
Authorized Official - Last Name:GEORGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-485-2602
Mailing Address - Street 1:PO BOX 816
Mailing Address - Street 2:
Mailing Address - City:HAVERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19083-0816
Mailing Address - Country:US
Mailing Address - Phone:215-485-2602
Mailing Address - Fax:
Practice Address - Street 1:7229 HAZEL AVE UNIT 2
Practice Address - Street 2:
Practice Address - City:UPPER DARBY
Practice Address - State:PA
Practice Address - Zip Code:19082-3004
Practice Address - Country:US
Practice Address - Phone:215-485-2602
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-13
Last Update Date:2017-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities