Provider Demographics
NPI:1568854297
Name:SECUREHEALTH SERVICES, LLC
Entity Type:Organization
Organization Name:SECUREHEALTH SERVICES, LLC
Other - Org Name:N/A
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ISATA
Authorized Official - Middle Name:N
Authorized Official - Last Name:BRYEMAH
Authorized Official - Suffix:
Authorized Official - Credentials:BSN, RN
Authorized Official - Phone:610-544-9900
Mailing Address - Street 1:130 S STATE RD
Mailing Address - Street 2:SUITE 208
Mailing Address - City:SPRINGFIELD
Mailing Address - State:PA
Mailing Address - Zip Code:19064-1232
Mailing Address - Country:US
Mailing Address - Phone:610-544-9900
Mailing Address - Fax:610-544-9990
Practice Address - Street 1:130 S STATE RD
Practice Address - Street 2:SUITE 208
Practice Address - City:SPRINGFIELD
Practice Address - State:PA
Practice Address - Zip Code:19064-1232
Practice Address - Country:US
Practice Address - Phone:610-544-9900
Practice Address - Fax:610-544-9990
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-04
Last Update Date:2015-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA05630501251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health