Provider Demographics
NPI:1366770562
Name:PROFESSIONAL ASSIST SERVICES INC.
Entity type:Organization
Organization Name:PROFESSIONAL ASSIST SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:TRACY
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:DISTEFANO-PACITTI
Authorized Official - Suffix:
Authorized Official - Credentials:RNFA
Authorized Official - Phone:215-431-4424
Mailing Address - Street 1:400 STANFORD RD
Mailing Address - Street 2:
Mailing Address - City:FAIRLESS HILLS
Mailing Address - State:PA
Mailing Address - Zip Code:19030-4010
Mailing Address - Country:US
Mailing Address - Phone:215-431-4424
Mailing Address - Fax:
Practice Address - Street 1:400 STANFORD RD
Practice Address - Street 2:
Practice Address - City:FAIRLESS HILLS
Practice Address - State:PA
Practice Address - Zip Code:19030-4010
Practice Address - Country:US
Practice Address - Phone:215-431-4424
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-27
Last Update Date:2020-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN349942L251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care