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NPI Code Detail

MEDICARE: WOMEN'S CHRISTIAN ALLIANCE

MEDICARE: WOMEN'S CHRISTIAN ALLIANCE
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
1253J00000XFoster Care Agency114820PA

General Provider Information

NPI Number : 1073757779
Entity Type Code : Organization
Provider Name (Legal Business Name) : WOMEN'S CHRISTIAN ALLIANCE
Provider Business Mailing Address
First Line : 1722-42 CECIL B. MOORE AVENUE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19121-3405
Country : US
Telephone Number : 215-236-9911
Fax Number : 215-236-9808
Provider Business Practice Location Address
First Line : 1722-42 CECIL B. MOORE AVENUE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19121-3405
Country : US
Telephone Number : 215-236-9911
Fax Number : 215-236-9808
Authorized Official
Title or Position : CHIEF EXECUTIVE OFFICER
Name : WANDA MIAL
Credential : MGA
Telephone Number : 215-236-9911
Provider Enumeration Date : 04/24/2009
Last Update Date : 04/24/2009

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Directions to “WOMEN'S CHRISTIAN ALLIANCE ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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