1861929515 NPI number — DEMSLEC MAINTENANCE SERVICES

Table of Contents

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:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

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)