Organization
ATLANTIS COORDINATED SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS MORELLI (DIRECTOR)
(267) 780-3093
Entity
Organization
Contact information
Practice address
1621 CARPENTER ST UNIT 1, PHILADELPHIA, PA 19146-2005
(267) 780-3093
(267) 367-5550
Mailing address
1621 CARPENTER ST UNIT 1, PHILADELPHIA, PA 19146-2005
(267) 780-3093
(267) 367-5550
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251X00000X
Supports Brokerage Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1035934700001
—
PA
Enumeration date
03/14/2019
Last updated
03/14/2019
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