Provider Demographics
NPI:1609251529
Name:ASTEN SERVICE COORDINATION GROUP
Entity Type:Organization
Organization Name:ASTEN SERVICE COORDINATION GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROPRIETOR
Authorized Official - Prefix:
Authorized Official - First Name:YOLANDA
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-417-1192
Mailing Address - Street 1:180 MONTINI ST
Mailing Address - Street 2:
Mailing Address - City:ALIQUIPPA
Mailing Address - State:PA
Mailing Address - Zip Code:15001-3443
Mailing Address - Country:US
Mailing Address - Phone:724-417-1192
Mailing Address - Fax:
Practice Address - Street 1:180 MONTINI ST
Practice Address - Street 2:
Practice Address - City:ALIQUIPPA
Practice Address - State:PA
Practice Address - Zip Code:15001-3443
Practice Address - Country:US
Practice Address - Phone:724-417-1192
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-21
Last Update Date:2015-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health