Provider Demographics
NPI:1407178742
Name:PROSPECTUS ASSOCIATES, INC.
Entity Type:Organization
Organization Name:PROSPECTUS ASSOCIATES, INC.
Other - Org Name:PROSPECTUS BERCO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MRS
Authorized Official - First Name:GAIL
Authorized Official - Middle Name:
Authorized Official - Last Name:PEVZNER
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:610-372-4637
Mailing Address - Street 1:840 WILLIAM LN
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19604-1551
Mailing Address - Country:US
Mailing Address - Phone:610-372-4637
Mailing Address - Fax:610-372-8644
Practice Address - Street 1:840 WILLIAM LN
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19604-1551
Practice Address - Country:US
Practice Address - Phone:610-372-4637
Practice Address - Fax:610-372-8644
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-26
Last Update Date:2010-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPSA-3164-07253J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency