MEDICARE: VISIONS OF WAKEFIELD AND WILLIAMS 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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1902685852
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VISIONS OF WAKEFIELD AND WILLIAMS LLC

Provider Business Mailing Address
First Line	:	7526 ROGERS AVE
Second Line	:
City	:	UPPER DARBY
State	:	PA
Zip	:	19082-1907
Country	:	US
Telephone Number	:	484-320-7176
Fax Number	:

Provider Business Practice Location Address
First Line	:	7526 ROGERS AVE
Second Line	:	REAR
City	:	UPPER DARBY
State	:	PA
Zip	:	19082-1907
Country	:	US
Telephone Number	:	484-320-7176
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	OLIVIA WAKEFIELD
Credential	:
Telephone Number	:	484-320-7176

Provider Enumeration Date	:	09/28/2023
Last Update Date	:	09/28/2023

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