MEDICARE: WISE PEOPLES CHOICE 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	251E00000X	Home Health Agency	763405	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1922204676
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WISE PEOPLES CHOICE OF PENNSYLVANIA, INC

Provider Business Mailing Address
First Line	:	6808 OLD YORK RD
Second Line	:
City	:	PHILA
State	:	PA
Zip	:	19126-2842
Country	:	US
Telephone Number	:	215-424-7373
Fax Number	:	215-424-7399

Provider Business Practice Location Address
First Line	:	6808 OLD YORK RD
Second Line	:
City	:	PHILA
State	:	PA
Zip	:	19126-2842
Country	:	US
Telephone Number	:	215-424-7373
Fax Number	:	215-424-7399

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MS. SHEILA PRESSLEY
Credential	:	BSNRN
Telephone Number	:	215-424-7373

Provider Enumeration Date	:	06/21/2007
Last Update Date	:	09/25/2007

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