# COMMUNITY LIVING AND SUPPORT SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134783178
- **Authorized official:** DAVID A BROWN (CONTROLLER)
- **Authorized official phone:** (412) 246-2136

## Contact information

- **Practice address:** 1400 S BRADDOCK AVE, PITTSBURGH, PA 15218-1264
- **Practice address phone:** (412) 246-2136
- **Practice address fax:** (412) 683-4160
- **Mailing address:** 1400 S BRADDOCK AVE, PITTSBURGH, PA 15218-1264
- **Mailing address phone:** (412) 246-2136
- **Mailing address fax:** (412) 683-4160

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 164W00000X | Licensed Practical Nurse | — | NULL | Yes |
| 164W00000X | Licensed Practical Nurse | — | — | Yes |

## Other

- **Enumeration date:** 04/25/2019
- **Last updated:** 04/25/2019