Provider Demographics
NPI:1215328927
Name:CROWN CLEANING SERVICES LLC
Entity type:Organization
Organization Name:CROWN CLEANING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:CORREA
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:516-859-8859
Mailing Address - Street 1:PO BOX 140
Mailing Address - Street 2:
Mailing Address - City:FARMINGVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11738-0140
Mailing Address - Country:US
Mailing Address - Phone:516-581-9354
Mailing Address - Fax:
Practice Address - Street 1:65 N OCEAN AVE
Practice Address - Street 2:2A
Practice Address - City:FREEPORT
Practice Address - State:NY
Practice Address - Zip Code:11520-3046
Practice Address - Country:US
Practice Address - Phone:516-581-9354
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-17
Last Update Date:2016-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes372500000XNursing Service Related ProvidersChore ProviderGroup - Single Specialty