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NPI Code Detail

MEDICARE: VIRTUAL PREVENTIVE CARE SERVICE

MEDICARE: VIRTUAL PREVENTIVE CARE SERVICE
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
1251C00000XDevelopmentally Disabled Services Day Training Agency
2251S00000XCommunity/Behavioral Health Agency
3253Z00000XIn Home Supportive Care Agency
4261QM0850XAdult Mental Health Clinic/Center
5320600000XIntellectual and/or Developmental Disabilities Residential Treatment Facility
6320700000XPhysical Disabilities Residential Treatment Facility
7320900000XIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
8342000000XTransportation Network Company
9347E00000XTransportation Broker
10385HR2060XChild Intellectual and/or Developmental Disabilities Respite Care
11385HR2065XChild Physical Disabilities Respite Care
12251E00000XHome Health Agency

General Provider Information

NPI Number : 1407603046
Entity Type Code : Organization
Provider Name (Legal Business Name) : VIRTUAL PREVENTIVE CARE SERVICE
Provider Business Mailing Address
First Line : 7018 SAYBROOK AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19142-1124
Country : US
Telephone Number : 215-847-7711
Fax Number : 610-734-0272
Provider Business Practice Location Address
First Line : 99 HAMILTON CT
Second Line :
City : PENNSAUKEN
State : NJ
Zip : 08110-1241
Country : US
Telephone Number : 215-847-7711
Fax Number : 610-734-0272
Authorized Official
Title or Position : CEO
Name : KATINA CARTER GEIGER
Credential :
Telephone Number : 215-847-7711
Provider Enumeration Date : 05/01/2024
Last Update Date : 05/01/2024

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Directions to “VIRTUAL PREVENTIVE CARE SERVICE ” Practice Location

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