Provider Demographics
NPI:1073818910
Name:PRO-SERVICES UNLIMITED,LLC
Entity Type:Organization
Organization Name:PRO-SERVICES UNLIMITED,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:P
Authorized Official - Last Name:MANCINI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-951-3680
Mailing Address - Street 1:170 FRANK LN
Mailing Address - Street 2:
Mailing Address - City:PARAMUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07652-4458
Mailing Address - Country:US
Mailing Address - Phone:201-951-3680
Mailing Address - Fax:201-265-1706
Practice Address - Street 1:170 FRANK LN
Practice Address - Street 2:
Practice Address - City:PARAMUS
Practice Address - State:NJ
Practice Address - Zip Code:07652-4458
Practice Address - Country:US
Practice Address - Phone:201-951-3680
Practice Address - Fax:201-265-1706
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-25
Last Update Date:2011-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies