MEDICARE: SPN CONSTRUCTION CORPORATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies
2	171WH0202X	Home Modifications Contractor

General Provider Information

NPI Number	:	1518440809
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPN CONSTRUCTION CORPORATION

Provider Business Mailing Address
First Line	:	2528 S BROAD ST STE 100
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19145-4689
Country	:	US
Telephone Number	:	267-606-6643
Fax Number	:

Provider Business Practice Location Address
First Line	:	2528 S BROAD ST STE 100
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19145-4615
Country	:	US
Telephone Number	:	267-606-6643
Fax Number	:	267-606-6658

Authorized Official
Title or Position	:	PRESIDENT
Name	:	SAVERIO NESTICO
Credential	:
Telephone Number	:	267-606-6643

Provider Enumeration Date	:	09/12/2018
Last Update Date	:	05/06/2026

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Directions to “SPN CONSTRUCTION CORPORATION ” Practice Location

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