MEDICARE: VANESSA MUCHISON-HALL

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	253Z00000X	In Home Supportive Care Agency	83403601	PA

General Provider Information

NPI Number	:	1588538755
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VANESSA MUCHISON-HALL

Provider Business Mailing Address
First Line	:	1414 N 62ND ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19151-3801
Country	:	US
Telephone Number	:	267-592-8047
Fax Number	:

Provider Business Practice Location Address
First Line	:	1414 N 62ND ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19151-3801
Country	:	US
Telephone Number	:	267-592-8047
Fax Number	:

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

Provider Enumeration Date	:	10/01/2025
Last Update Date	:	11/20/2025

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Directions to “ VANESSA MUCHISON-HALL ” Practice Location

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