MEDICARE: SILVERCARE PERSONAL CARE LLC

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	311ZA0620X	Adult Care Home Facility

General Provider Information

NPI Number	:	1811483084
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SILVERCARE PERSONAL CARE LLC

Provider Business Mailing Address
First Line	:	34 COPLEY RD
Second Line	:
City	:	UPPER DARBY
State	:	PA
Zip	:	19082-2512
Country	:	US
Telephone Number	:	610-352-8000
Fax Number	:

Provider Business Practice Location Address
First Line	:	34 COPLEY RD
Second Line	:
City	:	UPPER DARBY
State	:	PA
Zip	:	19082-2512
Country	:	US
Telephone Number	:	610-352-8000
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	GUOFANG WANG
Credential	:
Telephone Number	:	610-812-5752

Provider Enumeration Date	:	07/10/2018
Last Update Date	:	07/10/2018

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