Provider Demographics
NPI:1821568510
Name:A-PLUS SUPPORT COORDINATION LLC
Entity Type:Organization
Organization Name:A-PLUS SUPPORT COORDINATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FELIX
Authorized Official - Middle Name:
Authorized Official - Last Name:OKOLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-219-4666
Mailing Address - Street 1:1146 DARCZUK DR
Mailing Address - Street 2:
Mailing Address - City:GARNET VALLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19060-1764
Mailing Address - Country:US
Mailing Address - Phone:215-219-4666
Mailing Address - Fax:
Practice Address - Street 1:1146 DARCZUK DR
Practice Address - Street 2:
Practice Address - City:GARNET VALLEY
Practice Address - State:PA
Practice Address - Zip Code:19060-1764
Practice Address - Country:US
Practice Address - Phone:215-219-4666
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-26
Last Update Date:2018-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA=========Other1035576060001