MEDICARE: COURTNEY MAYS

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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1326875121
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	COURTNEY MAYS

Provider Business Mailing Address
First Line	:	2925 N 12TH ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19133-1326
Country	:	US
Telephone Number	:	267-323-0047
Fax Number	:	215-225-1211

Provider Business Practice Location Address
First Line	:	2925 N 12TH ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19133-1326
Country	:	US
Telephone Number	:	267-323-0047
Fax Number	:	215-225-1211

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/16/2024
Last Update Date	:	09/16/2024

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Directions to “ COURTNEY MAYS ” Practice Location

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