Healthcare Provider Details

I. General information

NPI: 1568810026
Provider Name (Legal Business Name): PREVENTIVE MEASURES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/25/2016
Last Update Date: 05/25/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1101 HAMILTON ST SUITE 529
ALLENTOWN PA
18101-1043
US

IV. Provider business mailing address

1101 HAMILTON ST SUITE 529
ALLENTOWN PA
18101-1043
US

V. Phone/Fax

Practice location:
  • Phone: 202-699-1209
  • Fax:
Mailing address:
  • Phone: 202-699-1209
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number30243601
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number30243601
License Number StatePA

VIII. Authorized Official

Name: MISS JON'NA M DAWSON
Title or Position: CEO
Credential: BA
Phone: 202-699-1209