Provider Demographics
NPI:1912766874
Name:REQUEST CONTRACTORS, LLC
Entity Type:Organization
Organization Name:REQUEST CONTRACTORS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:SULLIVAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-446-4209
Mailing Address - Street 1:7601 CRITTENDEN ST APT H2
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19118-3227
Mailing Address - Country:US
Mailing Address - Phone:267-446-4209
Mailing Address - Fax:
Practice Address - Street 1:109 SWEENEY RD
Practice Address - Street 2:
Practice Address - City:SIMPSONVILLE
Practice Address - State:SC
Practice Address - Zip Code:29680-7040
Practice Address - Country:US
Practice Address - Phone:267-446-4209
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-14
Last Update Date:2024-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health