Provider Demographics
NPI:1790920395
Name:A SHOULDER TO LEAN ON, LLC
Entity Type:Organization
Organization Name:A SHOULDER TO LEAN ON, LLC
Other - Org Name:A SHOULDER TO LEAN ON, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:M
Authorized Official - Last Name:LAWSON
Authorized Official - Suffix:
Authorized Official - Credentials:RN BSN
Authorized Official - Phone:267-307-2681
Mailing Address - Street 1:7434 DREXEL ROAD
Mailing Address - Street 2:SUITE B
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19151-2933
Mailing Address - Country:US
Mailing Address - Phone:267-307-2681
Mailing Address - Fax:
Practice Address - Street 1:7434 DREXEL ROAD
Practice Address - Street 2:SUITE B
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19151-2933
Practice Address - Country:US
Practice Address - Phone:267-307-2681
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-10
Last Update Date:2008-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health