# LAS GERIATRIC CARE SERVICES, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1548280076
- **Authorized official:** MR. DAVID FENOGLIETTO (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (724) 776-1100

## Contact information

- **Practice address:** 100 SUPERIOR AVE, ALIQUIPPA, PA 15001-3629
- **Practice address phone:** (724) 378-5400
- **Practice address fax:** (724) 302-2093
- **Mailing address:** 1323 FREEDOM RD, CRANBERRY TOWNSHIP, PA 16066-5001
- **Mailing address phone:** (724) 776-1100
- **Mailing address fax:** (724) 776-0811

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/20/2006
- **Last updated:** 08/22/2020