Provider Demographics
NPI:1740802735
Name:AM PM NORTH AMERICA INC.
Entity Type:Organization
Organization Name:AM PM NORTH AMERICA INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DON
Authorized Official - Prefix:
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:
Authorized Official - Last Name:MOODY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:610-707-2676
Mailing Address - Street 1:2318 ROSEMORE AVE APT J23
Mailing Address - Street 2:
Mailing Address - City:GLENSIDE
Mailing Address - State:PA
Mailing Address - Zip Code:19038-4150
Mailing Address - Country:US
Mailing Address - Phone:610-707-2676
Mailing Address - Fax:215-774-1096
Practice Address - Street 1:2318 ROSEMORE AVE APT J23
Practice Address - Street 2:
Practice Address - City:GLENSIDE
Practice Address - State:PA
Practice Address - Zip Code:19038-4150
Practice Address - Country:US
Practice Address - Phone:610-707-2676
Practice Address - Fax:215-774-1096
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-12
Last Update Date:2020-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No385H00000XRespite Care FacilityRespite Care