Provider Demographics
NPI:1093032161
Name:PEOPLE ACCESS UNLIMITED.ORG
Entity Type:Organization
Organization Name:PEOPLE ACCESS UNLIMITED.ORG
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MODINAT
Authorized Official - Middle Name:T
Authorized Official - Last Name:ATANDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-991-1200
Mailing Address - Street 1:60 PARK PL STE 306
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07102-5511
Mailing Address - Country:US
Mailing Address - Phone:973-991-1200
Mailing Address - Fax:973-991-1199
Practice Address - Street 1:60 PARK PL STE 306
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07102
Practice Address - Country:US
Practice Address - Phone:973-991-1200
Practice Address - Fax:973-991-1199
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-28
Last Update Date:2010-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care