Provider Demographics
NPI:1740782457
Name:VALUES INTO ACTION SUPPORT COORDINATION, INC.
Entity Type:Organization
Organization Name:VALUES INTO ACTION SUPPORT COORDINATION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:SAULINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-397-2796
Mailing Address - Street 1:14 S JACKSON ST STE 102
Mailing Address - Street 2:
Mailing Address - City:MEDIA
Mailing Address - State:PA
Mailing Address - Zip Code:19063-3322
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:351 HIGH ST STE 203
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08016-4433
Practice Address - Country:US
Practice Address - Phone:856-985-6801
Practice Address - Fax:856-985-6802
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-08
Last Update Date:2018-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty