Provider Demographics
NPI:1164049789
Name:CITADEL SERVICES, INC
Entity Type:Organization
Organization Name:CITADEL SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:F
Authorized Official - Last Name:BACHICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-408-7819
Mailing Address - Street 1:195A PRATHER PARK DR
Mailing Address - Street 2:
Mailing Address - City:MYRTLE BEACH
Mailing Address - State:SC
Mailing Address - Zip Code:29588-7911
Mailing Address - Country:US
Mailing Address - Phone:843-488-2849
Mailing Address - Fax:888-569-3211
Practice Address - Street 1:195A PRATHER PARK DR
Practice Address - Street 2:
Practice Address - City:MYRTLE BEACH
Practice Address - State:SC
Practice Address - Zip Code:29588-7911
Practice Address - Country:US
Practice Address - Phone:843-488-2849
Practice Address - Fax:888-569-3211
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-30
Last Update Date:2020-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care