Provider Demographics
NPI:1235470857
Name:PREVENTIVE MEASURES, LLC
Entity Type:Organization
Organization Name:PREVENTIVE MEASURES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DWAYNE
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-510-3865
Mailing Address - Street 1:515 W LINDEN ST LOWR LEVEL
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18101-1426
Mailing Address - Country:US
Mailing Address - Phone:484-226-0986
Mailing Address - Fax:
Practice Address - Street 1:515 W LINDEN ST LOWR LEVEL
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18101-1426
Practice Address - Country:US
Practice Address - Phone:484-225-4323
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-06
Last Update Date:2024-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA224650251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health