Provider Demographics
NPI:1528517836
Name:EMPOWER SUPPORT COORDINATION, LLC
Entity type:Organization
Organization Name:EMPOWER SUPPORT COORDINATION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:SYLWIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ESCOBEDO
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LSW
Authorized Official - Phone:908-209-2884
Mailing Address - Street 1:1492 MORRIS AVE
Mailing Address - Street 2:APT 2
Mailing Address - City:UNION
Mailing Address - State:NJ
Mailing Address - Zip Code:07083-6343
Mailing Address - Country:US
Mailing Address - Phone:908-312-1152
Mailing Address - Fax:908-379-8867
Practice Address - Street 1:1492 MORRIS AVE
Practice Address - Street 2:APT 2
Practice Address - City:UNION
Practice Address - State:NJ
Practice Address - Zip Code:07083-6343
Practice Address - Country:US
Practice Address - Phone:908-312-1152
Practice Address - Fax:908-379-8867
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-27
Last Update Date:2016-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management