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Organization
LAS GERIATRIC CARE SERVICES, INC.
Active
Organization
LAS GERIATRIC CARE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID FENOGLIETTO (CHIEF EXECUTIVE OFFICER)
(724) 776-1100
Entity
Organization
Contact information
Practice address
100 SUPERIOR AVE, ALIQUIPPA, PA 15001-3629
(724) 378-5400
(724) 302-2093
Mailing address
1323 FREEDOM RD, CRANBERRY TOWNSHIP, PA 16066-5001
(724) 776-1100
(724) 776-0811
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
07/20/2006
Last updated
08/22/2020
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