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Organization
COMMUNITY LIVING AND SUPPORT SERVICES
Active
Organization
COMMUNITY LIVING AND SUPPORT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID A BROWN (CONTROLLER)
(412) 246-2136
Entity
Organization
Contact information
Practice address
1400 S BRADDOCK AVE, PITTSBURGH, PA 15218-1264
(412) 246-2136
(412) 683-4160
Mailing address
1400 S BRADDOCK AVE, PITTSBURGH, PA 15218-1264
(412) 246-2136
(412) 683-4160
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
—
NULL
164W00000X
Licensed Practical Nurse
Primary
—
—
Other
Enumeration date
04/25/2019
Last updated
04/25/2019
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