Commonwealth Supportive Services,LLC.
Organization Active NPI Licensed Practical Nurse · Folsom, PA
NPI 1457772808 · NPPES record last updated Jun 27, 2016
Key facts
- NPI
- 1457772808
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- Legal business name
- COMMONWEALTH SUPPORTIVE SERVICES,LLC.
- Practice address
- 1602 Macdade Blvd
Folsom, PA 19033-1313 - Phone
- (267) 207-1941
- NPI assigned
- Jan 1, 2014
- Organization subpart
- No
Authorized official
- Name
- Thomas Kargbo
- Title
- C.E.O.
- Phone
- (267) 207-1941
National Provider Directory
Locations
1602 Macdade Blvd
Folsom, PA 19033
Phone (267) 207-1941
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse |
163W00000X | |||
| Licensed Practical Nurse |
164W00000X | Yes |
Addresses
Primary practice location
1602 Macdade Blvd
Folsom, PA 19033-1313
Mailing address
1602 Macdade Blvd
Folsom, PA 19033-1313
Phone (267) 207-1941
Other names
- Same as above
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All providers in Folsom, PA · Licensed Practical Nurse in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 27, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.