Provider Demographics
NPI:1528497013
Name:AGENCY DEPENDENT ASSISTANCE MANAGEMENT SERVICES INC.
Entity type:Organization
Organization Name:AGENCY DEPENDENT ASSISTANCE MANAGEMENT SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:GREVIOUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-467-2250
Mailing Address - Street 1:1 INTERNATIONAL PLZ
Mailing Address - Street 2:SUITE 550
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19113-1510
Mailing Address - Country:US
Mailing Address - Phone:267-467-2250
Mailing Address - Fax:
Practice Address - Street 1:1 INTERNATIONAL PLZ
Practice Address - Street 2:SUITE 550
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19113-1510
Practice Address - Country:US
Practice Address - Phone:267-467-2250
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-05
Last Update Date:2013-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies