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NPI Code Detail

MEDICARE: ALENTA SERVICE COORDINATION AGENCY

MEDICARE: ALENTA SERVICE COORDINATION AGENCY
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
1251B00000XCase Management AgencyPA

General Provider Information

NPI Number : 1386163988
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALENTA SERVICE COORDINATION AGENCY
Provider Business Mailing Address
First Line : PO BOX 803
Second Line :
City : SPRING HOUSE
State : PA
Zip : 19477-0803
Country : US
Telephone Number : 484-843-1816
Fax Number :
Provider Business Practice Location Address
First Line : 5203 AVENEL BLVD
Second Line :
City : NORTH WALES
State : PA
Zip : 19454-3956
Country : US
Telephone Number : 484-843-1816
Fax Number :
Authorized Official
Title or Position : MANAGING DIRECTOR
Name : ENEIDA MASKUTI
Credential :
Telephone Number : 484-843-1816
Provider Enumeration Date : 09/14/2017
Last Update Date : 03/17/2018

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Directions to “ALENTA SERVICE COORDINATION AGENCY ” Practice Location

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