Provider Demographics
NPI:1871982561
Name:ATLANTES, LLC
Entity type:Organization
Organization Name:ATLANTES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:RITA
Authorized Official - Middle Name:
Authorized Official - Last Name:PRYDYBAILO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-485-0619
Mailing Address - Street 1:1240 MANOR DR
Mailing Address - Street 2:
Mailing Address - City:WARMINSTER
Mailing Address - State:PA
Mailing Address - Zip Code:18974-2103
Mailing Address - Country:US
Mailing Address - Phone:215-485-0619
Mailing Address - Fax:215-674-3148
Practice Address - Street 1:1240 MANOR DR
Practice Address - Street 2:
Practice Address - City:WARMINSTER
Practice Address - State:PA
Practice Address - Zip Code:18974-2103
Practice Address - Country:US
Practice Address - Phone:215-485-0619
Practice Address - Fax:215-674-3148
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-18
Last Update Date:2015-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health