Provider Demographics
NPI:1891968210
Name:CARYL TECHNOLOGIES, LLC
Entity Type:Organization
Organization Name:CARYL TECHNOLOGIES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GERALD
Authorized Official - Middle Name:EVANS
Authorized Official - Last Name:GREEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-804-3622
Mailing Address - Street 1:275 S BRYN MAWR AVE
Mailing Address - Street 2:STE K38
Mailing Address - City:BRYN MAWR
Mailing Address - State:PA
Mailing Address - Zip Code:19010-4202
Mailing Address - Country:US
Mailing Address - Phone:888-804-3622
Mailing Address - Fax:610-579-3792
Practice Address - Street 1:275 S BRYN MAWR AVE
Practice Address - Street 2:STE K38
Practice Address - City:BRYN MAWR
Practice Address - State:PA
Practice Address - Zip Code:19010-4202
Practice Address - Country:US
Practice Address - Phone:888-804-3622
Practice Address - Fax:610-579-3792
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-07
Last Update Date:2008-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare