MEDICARE: SAFE MEADOW HEALTH CENTER

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	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)	MD03439E	PA

General Provider Information

NPI Number	:	1255566402
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAFE MEADOW HEALTH CENTER

Provider Business Mailing Address
First Line	:	7042 ELMWOOD AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19142-1722
Country	:	US
Telephone Number	:	215-937-0700
Fax Number	:

Provider Business Practice Location Address
First Line	:	7042 ELMWOOD AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19142-1722
Country	:	US
Telephone Number	:	215-937-0700
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	DR. BIYI OYEFULE
Credential	:	M.D.
Telephone Number	:	215-937-0700

Provider Enumeration Date	:	05/18/2009
Last Update Date	:	05/18/2009

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Directions to “SAFE MEADOW HEALTH CENTER ” Practice Location

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