=====================================================
General NPI Number Information
=====================================================
NPI Number | 1073083952
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | P2 PARTNERS, INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/04/2018
-----------------------------------------------------
Last Update Date | 12/04/2018
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 30 OAKWOOD AVE
-----------------------------------------------------
City | NORWALK
-----------------------------------------------------
State | CT
-----------------------------------------------------
Zip | 06850-1318
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 203-900-8020
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2 LINDEN DR
-----------------------------------------------------
City | ELLINGTON
-----------------------------------------------------
State | CT
-----------------------------------------------------
Zip | 06029-3422
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 727-698-5687
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | MARICOR PILONEO
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 727-698-5687
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 253Z00000X
-----------------------------------------------------
Taxonomy Name | In Home Supportive Care Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------