Provider Demographics
NPI:1528566429
Name:TIL SERVICES, INC.
Entity Type:Organization
Organization Name:TIL SERVICES, INC.
Other - Org Name:ST. GREGORY ADHC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SYLVIA
Authorized Official - Middle Name:
Authorized Official - Last Name:KURZULIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-640-6112
Mailing Address - Street 1:PO BOX 10489
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91510-0489
Mailing Address - Country:US
Mailing Address - Phone:626-349-4731
Mailing Address - Fax:626-349-4755
Practice Address - Street 1:2215 E. COLORADO BLVD.
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91107-3642
Practice Address - Country:US
Practice Address - Phone:626-349-4731
Practice Address - Fax:626-349-4755
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-25
Last Update Date:2018-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care