Healthcare Provider Details

I. General information

NPI: 1881127371
Provider Name (Legal Business Name): SUSAN MEO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/11/2017
Last Update Date: 04/11/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4334 SUNSET AVE
LEVITTOWN PA
19056-3368
US

IV. Provider business mailing address

4334 SUNSET AVE
LEVITTOWN PA
19056-3368
US

V. Phone/Fax

Practice location:
  • Phone: 267-992-4689
  • Fax:
Mailing address:
  • Phone: 267-992-4689
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number27233601
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: