MEDICARE: CARELINK COMMUNITY SUPPORT SERVICES OF PENNSYLVANIA INC

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	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1700675303
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARELINK COMMUNITY SUPPORT SERVICES OF PENNSYLVANIA INC

Provider Business Mailing Address
First Line	:	106 CHESLEY DR
Second Line	:
City	:	MEDIA
State	:	PA
Zip	:	19063-1759
Country	:	US
Telephone Number	:	610-874-1119
Fax Number	:	610-565-3802

Provider Business Practice Location Address
First Line	:	925 S CONCORD RD
Second Line	:
City	:	WEST CHESTER
State	:	PA
Zip	:	19382-7536
Country	:	US
Telephone Number	:	484-999-0590
Fax Number	:	610-565-3801

Authorized Official
Title or Position	:	CEO
Name	:	GARY WOOMER
Credential	:
Telephone Number	:	610-874-1119

Provider Enumeration Date	:	05/01/2025
Last Update Date	:	05/01/2025

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