1861929515 NPI number — DEMSLEC MAINTENANCE SERVICES

Table of content: (NPI 1861929515)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1861929515 NPI number — DEMSLEC MAINTENANCE SERVICES

Organization/Personal Information

Employer Identification Number (EIN):
N/A
Provider Organization Name:
DEMSLEC MAINTENANCE SERVICES
Provider Last Name:
Provider First Name:
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Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
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NPI Number Information

NPI Number:
1861929515
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/12/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2176 L SINGALONG STREET MALATE MANILA
Provider Second Line Business Mailing Address:
MANILA PHILIPPINES 1004
Provider Business Mailing Address City Name:
SCRANTON
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
18515
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
632-512-4812
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2176 L SINGALONG STREET MALATE METRO MANILA
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MANILA
Provider Business Practice Location Address State Name:
PHILIPPINES
Provider Business Practice Location Address Postal Code:
1004
Provider Business Practice Location Address Country Code:
PH
Provider Business Practice Location Address Telephone Number:
632-512-4812
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/12/2017

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
CORTEZ
Authorized Official First Name:
LAUREANA ESPIA
Authorized Official Middle Name:
ESTOQUE
Authorized Official Title or Position:
ADMIN
Authorized Official Telephone Number:
632-512-4812

Provider Taxonomy Codes

  • Taxonomy code: 332BC3200X , with the licence number:  896992 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)