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Organization
VINCENTIAN DE MARILLAC
Active
Organization
VINCENTIAN DE MARILLAC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JESSICA KLINE (FINANCE)
(412) 548-4073
Entity
Organization
Contact information
Practice address
5300 STANTON AVE, PITTSBURGH, PA 15206-2083
(412) 361-2833
(412) 361-2833
Mailing address
8250 BABCOCK BLVD, PITTSBURGH, PA 15237-5825
(412) 548-4073
(412) 348-0186
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0251
HIGHMARK BC PROVIDER #
PA
05
—
100745620003
—
PA
Enumeration date
06/21/2005
Last updated
10/25/2011
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