Provider Demographics
NPI:1699086207
Name:KOURT SECURITY PARTNERS, LLC
Entity type:Organization
Organization Name:KOURT SECURITY PARTNERS, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CONTROLLER
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:MALLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-481-6309
Mailing Address - Street 1:PO BOX 1707
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17608-1707
Mailing Address - Country:US
Mailing Address - Phone:717-481-7600
Mailing Address - Fax:717-481-7574
Practice Address - Street 1:241 N PLUM ST
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17602-2792
Practice Address - Country:US
Practice Address - Phone:717-481-7600
Practice Address - Fax:717-481-7574
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-29
Last Update Date:2010-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care