Provider Demographics
NPI:1164991261
Name:APOGEE SERVICES UNLIMITED
Entity Type:Organization
Organization Name:APOGEE SERVICES UNLIMITED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LOOKMAN
Authorized Official - Middle Name:O
Authorized Official - Last Name:IBIDUNNI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-620-8846
Mailing Address - Street 1:14 N WALNUT ST OFC 2
Mailing Address - Street 2:
Mailing Address - City:MECHANICSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17055-3398
Mailing Address - Country:US
Mailing Address - Phone:717-620-8846
Mailing Address - Fax:717-620-8595
Practice Address - Street 1:14 N WALNUT ST
Practice Address - Street 2:OFC 2
Practice Address - City:MECHANICSBURG
Practice Address - State:PA
Practice Address - Zip Code:17055-3398
Practice Address - Country:US
Practice Address - Phone:717-620-8846
Practice Address - Fax:717-620-8595
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-19
Last Update Date:2018-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA6571255OtherSERVICE COORDINATION