MEDICARE: FRANKLIN TOWNE CHS

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	251300000X	Local Education Agency (LEA)		PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1225100894
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FRANKLIN TOWNE CHS

Provider Business Mailing Address
First Line	:	5301 TACONY ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19137-2307
Country	:	US
Telephone Number	:	215-289-5000
Fax Number	:	215-992-0150

Provider Business Practice Location Address
First Line	:	5301 TACONY ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19137-2307
Country	:	US
Telephone Number	:	215-289-5000
Fax Number	:	215-992-0150

Authorized Official
Title or Position	:	C.E.O.
Name	:	MR. JOSEPH M VENDITTI
Credential	:
Telephone Number	:	215-289-5000

Provider Enumeration Date	:	11/15/2006
Last Update Date	:	08/22/2020

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