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NPI Code Detail

MEDICARE: MS. PHYLLIS MWAURA

MEDICARE:  MS. PHYLLIS  MWAURA
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
1172V00000XCommunity Health Worker42963601PA
2251E00000XHome Health Agency42963601PA
3251T00000XPACE Provider Organization42963601PA
4332B00000XDurable Medical Equipment & Medical Supplies42963601PA
5343900000XNon-emergency Medical Transport (VAN)42963601PA
6347C00000XPrivate Vehicle42963601PA
7372500000XChore Provider42963601PA
8385H00000XRespite Care42963601PA
9372600000XAdult Companion42963601PA
10376J00000XHomemaker42963601PA
11376K00000XNurse's Aide42963601PA
12253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1982058681
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. PHYLLIS MWAURA
Provider Business Mailing Address
First Line : 309 SANFORD RD
Second Line :
City : UPPER DARBY
State : PA
Zip : 19082-4716
Country : US
Telephone Number : 302-444-7000
Fax Number :
Provider Business Practice Location Address
First Line : 309 SANFORD RD
Second Line :
City : UPPER DARBY
State : PA
Zip : 19082-4716
Country : US
Telephone Number : 302-444-7000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2016
Last Update Date : 01/22/2024

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Directions to “ MS. PHYLLIS MWAURA ” Practice Location

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