Organization
EPA SUPPORTIVE SERVICES LLC
Active
Other names
N/A
Organization subpart
No
Provider details
NPI number
Authorized official
EUGENE ASONYE BEHAVIORAL SPECIALIS (ADMINISTRATOR)
(267) 471-2972
Entity
Organization
Contact information
Practice address
146 TUDOR DR, NORTH WALES, PA 19454-1626
(267) 471-2972
Mailing address
146 TUDOR DR, NORTH WALES, PA 19454-1626
(267) 471-2972
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
12/28/2018
Last updated
12/28/2018
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