Healthcare Provider Details

I. General information

NPI: 1568751469
Provider Name (Legal Business Name): ENDLESS POOLS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/31/2011
Last Update Date: 03/31/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 DUTTON MILL RD
ASTON PA
19014-2831
US

IV. Provider business mailing address

1601 DUTTON MILL RD
ASTON PA
19014-2831
US

V. Phone/Fax

Practice location:
  • Phone: 800-732-8660
  • Fax: 610-497-9328
Mailing address:
  • Phone: 800-732-8660
  • Fax: 610-497-9328

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MR. JUSTIN TILLINGHAST
Title or Position: BUSINESS DEVELOPMENT MANAGER
Credential:
Phone: 800-732-8660