Provider Demographics
NPI:1275393290
Name:SWEETING, PERCIVAL ALEXANDER JR (MS)
Entity Type:Individual
Prefix:
First Name:PERCIVAL
Middle Name:ALEXANDER
Last Name:SWEETING
Suffix:JR
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 HYACINTH WAY
Mailing Address - Street 2:
Mailing Address - City:COATESVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19320-4371
Mailing Address - Country:US
Mailing Address - Phone:610-256-0653
Mailing Address - Fax:
Practice Address - Street 1:101 HYACINTH WAY
Practice Address - Street 2:
Practice Address - City:COATESVILLE
Practice Address - State:PA
Practice Address - Zip Code:19320-4371
Practice Address - Country:US
Practice Address - Phone:610-256-0653
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-19
Last Update Date:2024-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care