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Organization
AL ALLISON PARK OPERATIONS, LLC
Active
Organization
AL ALLISON PARK OPERATIONS, LLC
Active
Other names
Elmcroft of Allison Park
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN L. BARBER JD (VICE PRESIDENT)
(502) 753-6004
Entity
Organization
Contact information
Practice address
2224 WALTERS RD, ALLISON PARK, PA 15101-3480
(412) 487-6925
(412) 487-0106
Mailing address
9510 ORMSBY STATION RD, SUITE 101, LOUISVILLE, KY 40223-4081
(502) 753-6004
(502) 753-6104
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
433620
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
433620
PERSONAL CARE HOME
PA
Enumeration date
09/27/2013
Last updated
09/27/2013
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