Provider Demographics
NPI:1629218797
Name:MPE PROPERTIES LLC
Entity Type:Organization
Organization Name:MPE PROPERTIES LLC
Other - Org Name:SPECTRUM HEALTH SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:PHILIP
Authorized Official - Middle Name:
Authorized Official - Last Name:ELK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-921-1020
Mailing Address - Street 1:5968 CLARK CENTER AVE
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34238-2715
Mailing Address - Country:US
Mailing Address - Phone:941-921-1020
Mailing Address - Fax:941-921-4803
Practice Address - Street 1:5968 CLARK CENTER AVE
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34238-2715
Practice Address - Country:US
Practice Address - Phone:941-921-1020
Practice Address - Fax:941-921-4803
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-02
Last Update Date:2009-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health