Provider Demographics
NPI:1558916817
Name:A PUSH OF LIFE AND MODIFICATIONS, LLC.
Entity Type:Organization
Organization Name:A PUSH OF LIFE AND MODIFICATIONS, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:REGINA
Authorized Official - Middle Name:
Authorized Official - Last Name:GALINSKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-808-7477
Mailing Address - Street 1:338 GLEN MEADOW RD
Mailing Address - Street 2:
Mailing Address - City:RICHBORO
Mailing Address - State:PA
Mailing Address - Zip Code:18954-1622
Mailing Address - Country:US
Mailing Address - Phone:267-808-7477
Mailing Address - Fax:732-446-4131
Practice Address - Street 1:338 GLEN MEADOW RD
Practice Address - Street 2:
Practice Address - City:RICHBORO
Practice Address - State:PA
Practice Address - Zip Code:18954-1622
Practice Address - Country:US
Practice Address - Phone:267-808-7477
Practice Address - Fax:732-446-4131
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-05
Last Update Date:2023-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333300000XSuppliersEmergency Response System Companies