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Organization
BAPTIST HOMES SOCIETY
Active
Organization
BAPTIST HOMES SOCIETY
Active
Other names
Baptist Homes of Western Pennsylvania
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE MICKAIL (CONTROLLER)
(412) 572-8240
Entity
Organization
Contact information
Practice address
489 CASTLE SHANNON BLVD, PITTSBURGH, PA 15234-1419
(412) 572-8240
(412) 572-8294
Mailing address
489 CASTLE SHANNON BLVD, PITTSBURGH, PA 15234-1419
(412) 572-8240
(412) 572-8294
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
047490
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0974694
—
PA
Enumeration date
08/12/2006
Last updated
12/30/2009
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