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Provider Demographic Information - CHILDWAY PEDIATRIC SERVICES INC

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PROVIDER DEMOGRAPHIC INFORMATION Supporting line for group header


Name:	CHILDWAY PEDIATRIC SERVICES INC
Address:	607 E MAIN ST LANSDALE, PA 19446-2935
Phone:	(215) 808-4860
Fax:	(215) 362-4955
E-mail:	cjordan@childway.org
Web Site:	www.childway.org

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PROVIDER CERTIFICATION INFORMATION Supporting line for group header

Click here to view Provider Certification Information

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PROVIDER'S PARENT/ REGIONAL OFFICE Supporting line for group header


Type:	Regional/Field Office	Counties Served:	Montgomery
Name:	Childway Pediatric Services
Address:	607 E MAIN ST LANSDALE, PA 19446-2935
Phone:	(215) 808-4860
Fax:	(215) 362-4955

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PROVIDER SERVICES AND RATES Supporting line for group header


County : Cumberland/Perry
\|Service Name / Level	\|Rate

Respite, Non-Waiver Setting/PLF, NG 4	$535.00 / 1 Day

County : Montgomery
\|Service Name / Level	\|Rate

Respite, Non-Waiver Setting/PLF, NG 4	$535.00 / 1 Day

County : Philadelphia
\|Service Name / Level	\|Rate

Respite, Non-Waiver Setting/PLF, NG 4	$670.00 / 1 Day

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