Provider Demographics
NPI:1861929515
Name:DEMSLEC MAINTENANCE SERVICES
Entity type:Organization
Organization Name:DEMSLEC MAINTENANCE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMIN
Authorized Official - Prefix:MS
Authorized Official - First Name:LAUREANA ESPIA
Authorized Official - Middle Name:ESTOQUE
Authorized Official - Last Name:CORTEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:632-512-4812
Mailing Address - Street 1:2176 L SINGALONG STREET MALATE MANILA
Mailing Address - Street 2:MANILA PHILIPPINES 1004
Mailing Address - City:SCRANTON
Mailing Address - State:PA
Mailing Address - Zip Code:18515
Mailing Address - Country:US
Mailing Address - Phone:632-512-4812
Mailing Address - Fax:
Practice Address - Street 1:2176 L SINGALONG STREET MALATE METRO MANILA
Practice Address - Street 2:
Practice Address - City:MANILA
Practice Address - State:PHILIPPINES
Practice Address - Zip Code:1004
Practice Address - Country:PH
Practice Address - Phone:632-512-4812
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-12
Last Update Date:2017-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA896992332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment