MEDICARE: GUIDING HANDS SUPPORT COORDINATION SERVICES

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	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1619521077
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GUIDING HANDS SUPPORT COORDINATION SERVICES

Provider Business Mailing Address
First Line	:	3538 DRUMORE DR
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19154-3912
Country	:	US
Telephone Number	:	215-613-9811
Fax Number	:

Provider Business Practice Location Address
First Line	:	3538 DRUMORE DR
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19154-3912
Country	:	US
Telephone Number	:	215-613-9811
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	WILMA HARRIS
Credential	:
Telephone Number	:	267-981-0358

Provider Enumeration Date	:	07/24/2019
Last Update Date	:	07/24/2019

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