IndividualActive
Sonny Nwachuku, MSA
NPI 1255094199 · Child Intellectual and/or Developmental Disabilities Respite Care · Yeadon, PA
Provider details
- NPI number
- 1255094199
- Entity type
- Individual
- Primary specialty
- Child Intellectual and/or Developmental Disabilities Respite CareRespite Care Facility
- Credential
- MSA
- Sex
- Male
- Sole proprietor
- Yes
- License
- 25783601 (PA)
Specialties & taxonomies
- Child Intellectual and/or Developmental Disabilities Respite CarePrimary385HR2060XLicense 25783601 (PA)
Respite Care Facility
Practice location
721 Church Ln Ste 1
Yeadon, PA 19050-3502
Phone: (267) 275-8478
Fax: (267) 275-8774
Approximate (ZIP-level) locationGet directions
Mailing address
721 Church Ln Ste 1
Yeadon, PA 19050-3502
Registry dates
- Enumerated
- 2021-10-18
- Last updated
- 2021-10-18
- Certified
- 2021-10-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.