Provider Demographics
NPI:1922324649
Name:COMPANIONS FOR YOU, INC.
Entity Type:Organization
Organization Name:COMPANIONS FOR YOU, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KIMBERLEE
Authorized Official - Middle Name:EVONNE
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:DIRECTOR
Authorized Official - Phone:215-477-0878
Mailing Address - Street 1:6124 W JEFFERSON ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19151-3902
Mailing Address - Country:US
Mailing Address - Phone:215-477-0878
Mailing Address - Fax:215-477-1523
Practice Address - Street 1:6124 W JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19151-3902
Practice Address - Country:US
Practice Address - Phone:215-477-0878
Practice Address - Fax:215-477-1523
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-20
Last Update Date:2010-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA13233601311Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311Z00000XNursing & Custodial Care FacilitiesCustodial Care Facility