Provider Demographics
NPI:1841052859
Name:A PLACE TO GROW, LLC
Entity type:Organization
Organization Name:A PLACE TO GROW, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:PROCTOR
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:610-390-9845
Mailing Address - Street 1:17 CREEK PKWY STE 200
Mailing Address - Street 2:
Mailing Address - City:UPPER CHICHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19061-3148
Mailing Address - Country:US
Mailing Address - Phone:610-390-9845
Mailing Address - Fax:
Practice Address - Street 1:17 CREEK PKWY STE 200
Practice Address - Street 2:
Practice Address - City:UPPER CHICHESTER
Practice Address - State:PA
Practice Address - Zip Code:19061-3148
Practice Address - Country:US
Practice Address - Phone:610-390-9845
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-25
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM3000XAmbulatory Health Care FacilitiesClinic/CenterMedically Fragile Infants and Children Day Care