Provider Demographics
NPI:1427112689
Name:HEALTHY SOLUTIONS, INC
Entity type:Organization
Organization Name:HEALTHY SOLUTIONS, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:MALLORY
Authorized Official - Suffix:
Authorized Official - Credentials:MSN, RN
Authorized Official - Phone:610-532-9426
Mailing Address - Street 1:387 W PENNINGTON DR
Mailing Address - Street 2:
Mailing Address - City:WESTAMPTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08060-2313
Mailing Address - Country:US
Mailing Address - Phone:610-532-9426
Mailing Address - Fax:
Practice Address - Street 1:601 CLIFTON AVE
Practice Address - Street 2:
Practice Address - City:SHARON HILL
Practice Address - State:PA
Practice Address - Zip Code:19079-2303
Practice Address - Country:US
Practice Address - Phone:610-532-9426
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-21
Last Update Date:2008-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA04011767261QC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA040447Medicare ID - Type UnspecifiedMASS IMMUNIZER
NJ046745Medicare ID - Type UnspecifiedMASS IMMUNIZER