MEDICARE: LADY OF FATIMA HEALTH SERVICES 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

General Provider Information

NPI Number	:	1972838803
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LADY OF FATIMA HEALTH SERVICES INC.

Provider Business Mailing Address
First Line	:	6122 TORRESDALE AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19135-3718
Country	:	US
Telephone Number	:	215-558-2580
Fax Number	:	215-558-2585

Provider Business Practice Location Address
First Line	:	6122 TORRESDALE AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19135-3718
Country	:	US
Telephone Number	:	215-558-2580
Fax Number	:	215-558-2585

Authorized Official
Title or Position	:	CEO
Name	:	MRS. FATMATA TURRAY
Credential	:	REGISTERED NURSE
Telephone Number	:	267-475-5403

Provider Enumeration Date	:	10/09/2009
Last Update Date	:	06/20/2023

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