Organization
A TO Z SUPPORTS COORDINATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REENA KURIAN RN (ADMINISTRATOR)
(484) 452-6139
Entity
Organization
Contact information
Practice address
8420 W CHESTER PIKE, UPPER DARBY, PA 19082-2739
(484) 452-6139
(484) 452-6244
Mailing address
8420 W CHESTER PIKE, UPPER DARBY, PA 19082-2739
(484) 452-6139
(484) 452-6244
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103460212
—
PA
05
—
103460212-001
—
PA
Enumeration date
09/17/2018
Last updated
09/17/2018
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