Provider Demographics
NPI:1386163988
Name:ALENTA SERVICE COORDINATION AGENCY
Entity type:Organization
Organization Name:ALENTA SERVICE COORDINATION AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ENEIDA
Authorized Official - Middle Name:
Authorized Official - Last Name:MASKUTI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:484-843-1816
Mailing Address - Street 1:PO BOX 803
Mailing Address - Street 2:
Mailing Address - City:SPRING HOUSE
Mailing Address - State:PA
Mailing Address - Zip Code:19477-0803
Mailing Address - Country:US
Mailing Address - Phone:484-843-1816
Mailing Address - Fax:
Practice Address - Street 1:5203 AVENEL BLVD
Practice Address - Street 2:
Practice Address - City:NORTH WALES
Practice Address - State:PA
Practice Address - Zip Code:19454-3956
Practice Address - Country:US
Practice Address - Phone:484-843-1816
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-14
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management