Provider Demographics
NPI:1003331737
Name:ACCESSIBLE SERVICES AND PRODUCTS, LLC
Entity Type:Organization
Organization Name:ACCESSIBLE SERVICES AND PRODUCTS, LLC
Other - Org Name:R M PENYAK & CO INC
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RAYMOND
Authorized Official - Middle Name:
Authorized Official - Last Name:PENYAK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-584-9629
Mailing Address - Street 1:2135 BUSTARD RD STE 2
Mailing Address - Street 2:
Mailing Address - City:LANSDALE
Mailing Address - State:PA
Mailing Address - Zip Code:19446-5724
Mailing Address - Country:US
Mailing Address - Phone:800-473-6925
Mailing Address - Fax:610-584-9767
Practice Address - Street 1:2135 BUSTARD RD STE 2
Practice Address - Street 2:
Practice Address - City:LANSDALE
Practice Address - State:PA
Practice Address - Zip Code:19446-5724
Practice Address - Country:US
Practice Address - Phone:800-473-6925
Practice Address - Fax:610-584-9767
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-03
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA6000003509332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0018511060001Medicaid