MEDICARE: PERSONAL TOUCH HOSPICE INC

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
1	251G00000X	Community Based Hospice Care Agency	PENDING	PA
2	251G00000X	Community Based Hospice Care Agency	16891601	PA

General Provider Information

NPI Number	:	1134174378
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PERSONAL TOUCH HOSPICE INC

Provider Business Mailing Address
First Line	:	8118 OLD YORK RD
Second Line	:	LOWER LEVEL
City	:	ELKINS PARK
State	:	PA
Zip	:	19027-1423
Country	:	US
Telephone Number	:	215-992-5420
Fax Number	:	215-992-5421

Provider Business Practice Location Address
First Line	:	8118 OLD YORK RD
Second Line	:	LOWER LEVEL
City	:	ELKINS PARK
State	:	PA
Zip	:	19027-1423
Country	:	US
Telephone Number	:	215-992-5420
Fax Number	:	215-992-5421

Authorized Official
Title or Position	:	OWNER DIRECTOR
Name	:	LEONID SAFRO
Credential	:
Telephone Number	:	215-992-5420

Provider Enumeration Date	:	05/24/2006
Last Update Date	:	02/06/2012

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