Provider Demographics
NPI:1114366184
Name:SACKO SERVICES
Entity Type:Organization
Organization Name:SACKO SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:SALOUM
Authorized Official - Middle Name:
Authorized Official - Last Name:SACKO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-258-4779
Mailing Address - Street 1:1300 W JEFFERSON ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19122-3326
Mailing Address - Country:US
Mailing Address - Phone:215-560-8893
Mailing Address - Fax:215-644-9043
Practice Address - Street 1:1300 W JEFFERSON ST
Practice Address - Street 2:SUITE B
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19122-3326
Practice Address - Country:US
Practice Address - Phone:215-560-8893
Practice Address - Fax:215-644-9043
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-22
Last Update Date:2016-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No251E00000XAgenciesHome Health