Provider Demographics
NPI:1376950295
Name:VIOLAS MANAGING GROUP INC 2
Entity Type:Organization
Organization Name:VIOLAS MANAGING GROUP INC 2
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DONNEL
Authorized Official - Middle Name:
Authorized Official - Last Name:DAIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-650-1463
Mailing Address - Street 1:643 OLIVE LANE
Mailing Address - Street 2:
Mailing Address - City:AMBRIDGE
Mailing Address - State:PA
Mailing Address - Zip Code:15003
Mailing Address - Country:US
Mailing Address - Phone:724-610-1463
Mailing Address - Fax:
Practice Address - Street 1:643 OLIVE LN
Practice Address - Street 2:
Practice Address - City:AMBRIDGE
Practice Address - State:PA
Practice Address - Zip Code:15003-2459
Practice Address - Country:US
Practice Address - Phone:724-610-1463
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-14
Last Update Date:2014-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health