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Contact Information

TEODOR 1 INCORPORATED DBA PERSONAL WOUND CARE SERVICES
8221 PROVIDENT STREET
PHILADELPHIA, PA19150
 Phone: 267-338-6382
 Fax: 888-252-9279
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Wound Care

163WW0000X
Indicates primary specialty

NPI Profile & details for TEODOR 1 INCORPORATED DBA PERSONAL WOUND CARE SERVICES

NPI # 1932047289
LBN Legal business name TEODOR 1 INCORPORATED DBA PERSONAL WOUND CARE SERVICES
Authorized official NICOLE THEODORE - (COO)
Entity Organization
Organization subpart 1 No
Enumeration date 03/24/2026
Last updated 03/24/2026 - About 2 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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