Healthcare Provider Details

I. General information

NPI: 1487590352
Provider Name (Legal Business Name): WOMEN AUTHENTICALLY WIN LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2026
Last Update Date: 04/24/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

145 GREENWOOD AVE STE 400
WYNCOTE PA
19095-1341
US

IV. Provider business mailing address

145 GREENWOOD AVE STE 400
WYNCOTE PA
19095-1341
US

V. Phone/Fax

Practice location:
  • Phone: 302-319-3105
  • Fax:
Mailing address:
  • Phone: 302-319-3105
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: BISA MUHAMMAD
Title or Position: OWNER
Credential:
Phone: 302-319-3105