Provider Demographics
NPI:1245879030
Name:MISSION BUSINESS ENTERPRISES LLC
Entity type:Organization
Organization Name:MISSION BUSINESS ENTERPRISES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS/FINANCIAL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:RIMONA
Authorized Official - Middle Name:
Authorized Official - Last Name:FRIEDBERG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-766-1257
Mailing Address - Street 1:1730 SHADYSIDE RD
Mailing Address - Street 2:
Mailing Address - City:DOWNINGTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19335-3723
Mailing Address - Country:US
Mailing Address - Phone:610-766-1257
Mailing Address - Fax:610-465-8991
Practice Address - Street 1:7516 CITY AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19151-2102
Practice Address - Country:US
Practice Address - Phone:215-352-4661
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-27
Last Update Date:2019-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health