Provider Demographics
NPI:1306586938
Name:WE CARE FIRST OF PHILADELPHIA
Entity type:Organization
Organization Name:WE CARE FIRST OF PHILADELPHIA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:N
Authorized Official - Last Name:BLACKMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:223-400-9882
Mailing Address - Street 1:1700 W TIOGA ST STE 20
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19140-4936
Mailing Address - Country:US
Mailing Address - Phone:223-400-9882
Mailing Address - Fax:
Practice Address - Street 1:1700 W TIOGA ST STE 20
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19140-4936
Practice Address - Country:US
Practice Address - Phone:223-400-9882
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-31
Last Update Date:2022-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty