Look up the most recent NPI and PECOS records

Stango Therapeutic Solutions Llc

Social Worker

Behavioral Health & Social Service Providers

24 Veterans Sq, Media, PA 19063-3155

PECOS Enrollment

Based on the most recent information from CMS, provider Stango Therapeutic Solutions Llc does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1881174951
Provider Type
Organization
Full Name
Stango Therapeutic Solutions Llc

Subpart
No
Enumeration Date
8/18/2018
Last Updated
8/18/2018

Contact Information

Practice Location

24 Veterans Sq, Media, PA 19063-3155

(610) 548-5278

Unlisted Fax

Mailing Location

301 Barry Ln, Wallingford, PA 19086-6402

(484) 444-2905

Unlisted Fax

Authorized Official

Stango, Gina Marie Mattivi (Owner/Therapist)

(484) 444-2905

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License CW017967 Pennsylvania

Stango Therapeutic Solutions Llc

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

Provider Taxonomies

Code

Description

License

Code

Description

License

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