Healthcare Provider Details
I. General information
NPI: 1033411780
Provider Name (Legal Business Name): MULTICULTURAL COMMUNITY FAMILY SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/01/2010
Last Update Date: 08/17/2022
Certification Date: 08/17/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7016 TERMINAL SQ SUITE 1-A
UPPER DARBY PA
19082-2337
US
IV. Provider business mailing address
7016 TERMINAL SQ SUITE 1-A
UPPER DARBY PA
19082-2337
US
V. Phone/Fax
- Phone: 484-641-8660
- Fax: 484-461-8678
- Phone: 484-641-8660
- Fax: 484-461-8678
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | 18383601 |
| License Number State | PA |
VIII. Authorized Official
Name: MS.
PORTIA
BARBARA
KAMARA
Title or Position: EXECUTIVE DIRECTOR
Credential: MSW
Phone: 484-461-8660