Healthcare Provider Details

I. General information

NPI: 1386723286
Provider Name (Legal Business Name): WISE PEOPLES CHOICE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/03/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6808 OLD YORK RD STE 1
PHILA PA
19126-2842
US

IV. Provider business mailing address

PO BOX 21453
PHILA PA
19141-0453
US

V. Phone/Fax

Practice location:
  • Phone: 215-424-7373
  • Fax: 215-424-7399
Mailing address:
  • Phone: 215-424-7373
  • Fax: 215-424-7399

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number397634
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier1526902
Identifier TypeMEDICAID
Identifier StatePA
Identifier Issuer

VIII. Authorized Official

Name: MS. SHEILA PRESSLEY
Title or Position: ADMINISTRATOR
Credential: BSN RN
Phone: 215-424-7373