MEDICARE: WORKSMARTLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1356991152
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WORKSMARTLLC

Provider Business Mailing Address
First Line	:	4409 FRANKFORD AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19124-3636
Country	:	US
Telephone Number	:	215-525-9361
Fax Number	:	215-525-9361

Provider Business Practice Location Address
First Line	:	4409 FRANKFORD AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19124-3636
Country	:	US
Telephone Number	:	215-214-5689
Fax Number	:	215-525-9361

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. MODESTINE L THORPE
Credential	:
Telephone Number	:	215-214-5689

Provider Enumeration Date	:	09/13/2019
Last Update Date	:	09/13/2019

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Directions to “WORKSMARTLLC ” Practice Location

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