MEDICARE: RHONDA HILL-SHARIF

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	320600000X	Intellectual and/or Developmental Disabilities Residential Treatment Facility	CER-00103177	PA

General Provider Information

NPI Number	:	1578007795
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RHONDA HILL-SHARIF

Provider Business Mailing Address
First Line	:	916 LONGVIEW RD
Second Line	:
City	:	KING OF PRUSSIA
State	:	PA
Zip	:	19406-3733
Country	:	US
Telephone Number	:	267-228-1905
Fax Number	:	215-430-0878

Provider Business Practice Location Address
First Line	:	2932 N TAYLOR ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19132-1911
Country	:	US
Telephone Number	:	267-228-1905
Fax Number	:	215-430-0878

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/06/2016
Last Update Date	:	12/06/2016

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Directions to “ RHONDA HILL-SHARIF ” Practice Location

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