Provider Demographics
NPI:1306304332
Name:PIVOT SERVICES INC
Entity type:Organization
Organization Name:PIVOT SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JEROME
Authorized Official - Middle Name:
Authorized Official - Last Name:PITCHFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-349-3564
Mailing Address - Street 1:1220 W ATKINSON AVE
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53206-3024
Mailing Address - Country:US
Mailing Address - Phone:414-226-5789
Mailing Address - Fax:414-226-5604
Practice Address - Street 1:1220 W ATKINSON AVE
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53206-3024
Practice Address - Country:US
Practice Address - Phone:414-226-5789
Practice Address - Fax:414-226-5604
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-08
Last Update Date:2019-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172V00000XOther Service ProvidersCommunity Health WorkerGroup - Multi-Specialty