MEDICARE: LEVCORP

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	12153601	PA

General Provider Information

NPI Number	:	1558744243
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LEVCORP

Provider Business Mailing Address
First Line	:	1211 CHESTNUT ST
Second Line	:	SUITE 905
City	:	PHILADELPHIA
State	:	PA
Zip	:	19107-4103
Country	:	US
Telephone Number	:	215-925-4610
Fax Number	:

Provider Business Practice Location Address
First Line	:	1211 CHESTNUT ST
Second Line	:	SUITE 905
City	:	PHILADELPHIA
State	:	PA
Zip	:	19107-4103
Country	:	US
Telephone Number	:	215-925-4610
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. STEPHEN LEVIN
Credential	:
Telephone Number	:	215-925-4610

Provider Enumeration Date	:	06/30/2015
Last Update Date	:	06/30/2015

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Directions to “LEVCORP ” Practice Location

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