Organization
TINDALL RESOURCE GROUP, INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. WANDA LACOLE TINDALL MBA (PRESIDENT)
(215) 273-6704
Entity
Organization
Contact information
Practice address
2824 COTTMAN AVE, SUITE 7, PHILADELPHIA, PA 19149-1400
(215) 273-6704
(215) 904-5073
Mailing address
2824 COTTMAN AVE, SUITE 7, PHILADELPHIA, PA 19149-1400
(215) 273-6704
(215) 904-5073
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102566324
MEDICAL ASSISTANCE, DEPARTMENT OF PUBLIC WELFARE
PA
Enumeration date
11/29/2011
Last updated
04/01/2016
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