Healthcare Provider Details

I. General information

NPI: 1023521176
Provider Name (Legal Business Name): CARE HEART COORDINATION SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/13/2017
Last Update Date: 11/13/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

603 E SANGER ST
PHILADELPHIA PA
19120-1720
US

IV. Provider business mailing address

1988 CARTER RD
FOLCROFT PA
19032-1717
US

V. Phone/Fax

Practice location:
  • Phone: 267-938-1485
  • Fax: 215-425-4414
Mailing address:
  • Phone: 267-938-1485
  • Fax: 215-425-4414

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251X00000X
TaxonomySupports Brokerage Agency
License Number
License Number State

VIII. Authorized Official

Name: MARTINA HUDSON
Title or Position: PRESIDENT
Credential:
Phone: 267-938-1485