Provider Demographics
NPI:1386723286
Name:WISE PEOPLES CHOICE
Entity type:Organization
Organization Name:WISE PEOPLES CHOICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SHEILA
Authorized Official - Middle Name:
Authorized Official - Last Name:PRESSLEY
Authorized Official - Suffix:
Authorized Official - Credentials:BSN RN
Authorized Official - Phone:215-424-7373
Mailing Address - Street 1:PO BOX 21453
Mailing Address - Street 2:
Mailing Address - City:PHILA
Mailing Address - State:PA
Mailing Address - Zip Code:19141-0453
Mailing Address - Country:US
Mailing Address - Phone:215-424-7373
Mailing Address - Fax:215-424-7399
Practice Address - Street 1:6808 OLD YORK RD STE 1
Practice Address - Street 2:
Practice Address - City:PHILA
Practice Address - State:PA
Practice Address - Zip Code:19126-2842
Practice Address - Country:US
Practice Address - Phone:215-424-7373
Practice Address - Fax:215-424-7399
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA397634251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1526902Medicaid
PA1526902Medicaid