MEDICARE: WORDSWORTH

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	251S00000X	Community/Behavioral Health Agency		PA

General Provider Information

NPI Number	:	1477695542
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WORDSWORTH

Provider Business Mailing Address
First Line	:	3905 FORD RD
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19131-2824
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3905 FORD RD
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19131-2824
Country	:	US
Telephone Number	:	215-643-5400
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MR. WILLIAM PARFITT
Credential	:
Telephone Number	:	215-643-5400

Provider Enumeration Date	:	02/13/2007
Last Update Date	:	08/22/2020

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Directions to “WORDSWORTH ” Practice Location

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