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Organization
COMMONWEALTH SUPPORTIVE SERVICES,LLC.
Active
Organization
COMMONWEALTH SUPPORTIVE SERVICES,LLC.
Active
Other names
Same as above
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS KARGBO (C.E.O.)
(267) 207-1941
Entity
Organization
Contact information
Practice address
1602 MACDADE BLVD, FOLSOM, PA 19033-1313
(267) 207-1941
Mailing address
1602 MACDADE BLVD, FOLSOM, PA 19033-1313
(267) 207-1941
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
NULL
163W00000X
Registered Nurse
—
—
164W00000X
Licensed Practical Nurse
Primary
—
NULL
164W00000X
Licensed Practical Nurse
Primary
—
—
Other
Enumeration date
01/01/2014
Last updated
06/27/2016
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