Provider Demographics
NPI:1548952765
Name:ALLIED SERVICES HOSPICE, LLC
Entity type:Organization
Organization Name:ALLIED SERVICES HOSPICE, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JUDY
Authorized Official - Middle Name:
Authorized Official - Last Name:KORGESKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-348-2911
Mailing Address - Street 1:100 ABINGTON EXECUTIVE PARK
Mailing Address - Street 2:
Mailing Address - City:CLARKS SUMMIT
Mailing Address - State:PA
Mailing Address - Zip Code:18411-2260
Mailing Address - Country:US
Mailing Address - Phone:570-348-2911
Mailing Address - Fax:570-341-4646
Practice Address - Street 1:100 ABINGTON EXECUTIVE PARK
Practice Address - Street 2:
Practice Address - City:CLARKS SUMMIT
Practice Address - State:PA
Practice Address - Zip Code:18411-2260
Practice Address - Country:US
Practice Address - Phone:570-348-2911
Practice Address - Fax:570-341-4646
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALLIED SERVICES FOUNDATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-05-25
Last Update Date:2023-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty