Provider Demographics
NPI:1417396938
Name:GAMCO SERVICES LLC
Entity Type:Organization
Organization Name:GAMCO SERVICES LLC
Other - Org Name:COMFORT KEEPERS OF GREATER LANSDALE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:GREGG
Authorized Official - Middle Name:RANDALL
Authorized Official - Last Name:GAMMELLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-302-3444
Mailing Address - Street 1:1816 W POINT PIKE
Mailing Address - Street 2:STE 301
Mailing Address - City:LANSDALE
Mailing Address - State:PA
Mailing Address - Zip Code:19446-5696
Mailing Address - Country:US
Mailing Address - Phone:215-302-3444
Mailing Address - Fax:215-302-3445
Practice Address - Street 1:1816 W POINT PIKE
Practice Address - Street 2:STE 301
Practice Address - City:LANSDALE
Practice Address - State:PA
Practice Address - Zip Code:19446-5696
Practice Address - Country:US
Practice Address - Phone:215-302-3444
Practice Address - Fax:215-302-3445
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-18
Last Update Date:2013-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA23953601253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care