Provider Demographics
NPI:1003477977
Name:ALTAMESE'S PERSONAL CARE
Entity Type:Organization
Organization Name:ALTAMESE'S PERSONAL CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:VERNON
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:SINGLETON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-740-2512
Mailing Address - Street 1:9200 OLD BUSTLETON AVE APT D309
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19115-4663
Mailing Address - Country:US
Mailing Address - Phone:215-740-2512
Mailing Address - Fax:
Practice Address - Street 1:9200 OLD BUSTLETON AVE APT D309
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19115-4663
Practice Address - Country:US
Practice Address - Phone:215-740-2512
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-21
Last Update Date:2019-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty