MEDICARE: RIGHT FOUNDATION

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	251B00000X	Case Management Agency		PA

General Provider Information

NPI Number	:	1497800502
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RIGHT FOUNDATION

Provider Business Mailing Address
First Line	:	445 FAIRMOUNT AVE
Second Line	:	1 ST FLOOR
City	:	PHILADELPHIA
State	:	PA
Zip	:	19123-2822
Country	:	US
Telephone Number	:	215-925-5661
Fax Number	:	215-925-5531

Provider Business Practice Location Address
First Line	:	445 FAIRMOUNT AVE
Second Line	:	1 ST FLOOR
City	:	PHILADELPHIA
State	:	PA
Zip	:	19123-2822
Country	:	US
Telephone Number	:	215-925-5661
Fax Number	:	215-925-5531

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. JUDY HENDERSON
Credential	:
Telephone Number	:	215-925-5661

Provider Enumeration Date	:	01/25/2007
Last Update Date	:	08/22/2020

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Directions to “RIGHT FOUNDATION ” Practice Location

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