Provider Demographics
NPI:1679397681
Name:SAVANNAHCARE CO
Entity type:Organization
Organization Name:SAVANNAHCARE CO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:N
Authorized Official - Last Name:MCFADDEN
Authorized Official - Suffix:
Authorized Official - Credentials:BSW
Authorized Official - Phone:267-582-0110
Mailing Address - Street 1:1515 MARKET ST STE 1200785
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19102-1921
Mailing Address - Country:US
Mailing Address - Phone:267-582-0110
Mailing Address - Fax:484-463-0574
Practice Address - Street 1:1515 MARKET ST STE 1200785
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19102-1921
Practice Address - Country:US
Practice Address - Phone:267-582-0110
Practice Address - Fax:484-463-0574
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-15
Last Update Date:2024-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172V00000XOther Service ProvidersCommunity Health WorkerGroup - Multi-Specialty
No171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty