Organization
WISEMINDS HEALTHCARE NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIANNA L FOSTER (CEO)
(215) 279-1509
Entity
Organization
Contact information
Practice address
7636 WYNDALE AVE, PHILADELPHIA, PA 19151-2707
(267) 836-3872
Mailing address
7636 WYNDALE AVE, PHILADELPHIA, PA 19151-2707
(267) 836-3872
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
10/15/2016
Last updated
10/15/2016
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