Provider Demographics
NPI:1336758739
Name:PERFECT COMPANIONS
Entity Type:Organization
Organization Name:PERFECT COMPANIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:AMINATA
Authorized Official - Middle Name:
Authorized Official - Last Name:KANU
Authorized Official - Suffix:
Authorized Official - Credentials:AA
Authorized Official - Phone:215-869-1536
Mailing Address - Street 1:14 S RIGBY AVE
Mailing Address - Street 2:
Mailing Address - City:LANSDOWNE
Mailing Address - State:PA
Mailing Address - Zip Code:19050-2217
Mailing Address - Country:US
Mailing Address - Phone:215-869-1536
Mailing Address - Fax:
Practice Address - Street 1:14 S RIGBY AVE
Practice Address - Street 2:
Practice Address - City:LANSDOWNE
Practice Address - State:PA
Practice Address - Zip Code:19050-2217
Practice Address - Country:US
Practice Address - Phone:215-869-1536
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-31
Last Update Date:2020-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1336758077Medicaid