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Contact Information

FRUITS OF THE FAMILY TABLE
2929 ARCH STREET
SUITE 1700
PHILADELPHIA, PA19104-2857
 Phone: 267-410-6188
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Case Manager/Care Coordinator

171M00000X
 

Case Management

251B00000X
 

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for FRUITS OF THE FAMILY TABLE

NPI Number 1992685838
LBN Legal business name FRUITS OF THE FAMILY TABLE
Authorized official SHARELL WILSON - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 09/03/2025
Last updated 09/03/2025 - About 9 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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