Provider Demographics
NPI:1174999502
Name:NETS NECESSITIES FOR AVAS
Entity type:Organization
Organization Name:NETS NECESSITIES FOR AVAS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER / OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:VANESSA
Authorized Official - Middle Name:ROCHELLE
Authorized Official - Last Name:HANKERSON - DELANEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-810-9112
Mailing Address - Street 1:1124 ROLLESTON ST
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17104-2833
Mailing Address - Country:US
Mailing Address - Phone:717-810-9112
Mailing Address - Fax:678-808-8326
Practice Address - Street 1:1124 ROLLESTON ST
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17104-2833
Practice Address - Country:US
Practice Address - Phone:717-810-9112
Practice Address - Fax:678-808-8326
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-20
Last Update Date:2015-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA31666-1251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health