MEDICARE: JORDAN SCOTT ADLER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	253Z00000X	In Home Supportive Care Agency
2	372600000X	Adult Companion
3	376K00000X	Nurse's Aide
4	385H00000X	Respite Care
5	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1366173874
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JORDAN SCOTT ADLER

Provider Business Mailing Address
First Line	:	520 PRESCOTT RD
Second Line	:
City	:	MERION STATION
State	:	PA
Zip	:	19066-1041
Country	:	US
Telephone Number	:	610-420-2121
Fax Number	:

Provider Business Practice Location Address
First Line	:	520 PRESCOTT RD
Second Line	:
City	:	MERION STATION
State	:	PA
Zip	:	19066-1041
Country	:	US
Telephone Number	:	610-420-2121
Fax Number	:

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

Provider Enumeration Date	:	06/23/2022
Last Update Date	:	06/23/2022

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Directions to “ JORDAN SCOTT ADLER ” Practice Location

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