Commonwealth Supportive Services,llc.
NPI #1457772808 in Folsom, Pennsylvania
Provider Information
- NPI Number
- 1457772808
- Entity Type
- Organization
- Organization Name
- Commonwealth Supportive Services,llc.
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- Jan 1, 2014
- Last Updated
- Jun 27, 2016
Practice Location
- Address
- 1602 MACDADE BLVD
- City
- Folsom
- State
- Pennsylvania
- ZIP Code
- 19033-1313
- Phone
- (267) 207-1941
Authorized Official
- Name
- THOMAS KARGBO
- Title
- C.E.O.
- Phone
- (267) 207-1941
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
| Licensed Practical Nurse |
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