Provider Demographics
NPI:1487923603
Name:SENTINEL MANAGEMENT SERVICES INC.
Entity type:Organization
Organization Name:SENTINEL MANAGEMENT SERVICES INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:MELVIN
Authorized Official - Last Name:HETTRICK
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:717-581-1245
Mailing Address - Street 1:118 W AIRPORT RD
Mailing Address - Street 2:
Mailing Address - City:LITITZ
Mailing Address - State:PA
Mailing Address - Zip Code:17543-9259
Mailing Address - Country:US
Mailing Address - Phone:717-581-1245
Mailing Address - Fax:717-581-8841
Practice Address - Street 1:118 W AIRPORT RD
Practice Address - Street 2:
Practice Address - City:LITITZ
Practice Address - State:PA
Practice Address - Zip Code:17543-9259
Practice Address - Country:US
Practice Address - Phone:717-581-1245
Practice Address - Fax:717-581-8841
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-16
Last Update Date:2011-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management