MEDICARE: THOMAS SUPPORTIVE SERVICES 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	251V00000X	Voluntary or Charitable Agency

General Provider Information

NPI Number	:	1255732657
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THOMAS SUPPORTIVE SERVICES INC.

Provider Business Mailing Address
First Line	:	1341 SANDY HILL RD
Second Line	:
City	:	NORRISTOWN
State	:	PA
Zip	:	19401-4155
Country	:	US
Telephone Number	:	215-669-6612
Fax Number	:

Provider Business Practice Location Address
First Line	:	1341 SANDY HILL RD
Second Line	:
City	:	NORRISTOWN
State	:	PA
Zip	:	19401-4155
Country	:	US
Telephone Number	:	215-669-6612
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	LEO THOMAS
Credential	:
Telephone Number	:	215-669-6612

Provider Enumeration Date	:	09/04/2014
Last Update Date	:	09/04/2014

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