IndividualActive
Samera Butler
NPI 1083026082 · PACE Provider Organization · Philadelphia, PA
Provider details
- NPI number
- 1083026082
- Entity type
- Individual
- Primary specialty
- PACE Provider OrganizationAgencies
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Agencies
- In Home Supportive Care Agency253Z00000X
Agencies
Practice location
1213 Vine St Ste 108
Philadelphia, PA 19107-1111
Phone: (215) 792-6884
Fax: (215) 395-8075
Approximate (ZIP-level) locationGet directions
Mailing address
1213 Vine St Ste 108
Philadelphia, PA 19107-1111
Registry dates
- Enumerated
- 2014-05-24
- Last updated
- 2014-05-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.