<Unavail>

LBN: Jesse Willard Woods Iii
<Unavail> is an health care organization with primary practice located at 1410 N 31St St , Philadelphia PA 19121-3870. The organization recently has 8 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Health Educator, Allopathic & Osteopathic Physicians / Allergy & Immunology, Allopathic & Osteopathic Physicians / Emergency Medical Services, Agencies / Day Training, Developmentally Disabled Services, Ambulatory Health Care Facilities / Community Health, Ambulatory Health Care Facilities / Health Service, Suppliers / Durable Medical Equipment & Medical Supplies. Other Service Providers / Case Manager/Care Coordinator is the primary health care specialty. Jesse Willard Woods Iii can be contacted via phone (215) 258-4815, or through Raven-Melchiz El, Tiger D. via phone (215) 435-4203.

Contact Information

Primary practice address
1410 N 31St St Philadelphia PA 19121-3870
Phone: (215) 258-4815
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Raven-Melchiz El, Tiger D.
Phone: (215) 435-4203

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Other Service Providers / Health Educator 174H00000X
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X
Agencies / Day Training, Developmentally Disabled Services 251C00000X
Ambulatory Health Care Facilities / Community Health 261QC1500X
Ambulatory Health Care Facilities / Health Service 261QH0100X
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1265093579
LBN Legal business name Jesse Willard Woods Iii
DBA Doing business as <Unavail>
Authorized official Raven-Melchiz El, Tiger D.
Entity Organization
Organization subpart 1 No
Enumeration date Jun 26th, 2019
Last updated Apr 3rd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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