# VINCENTIAN DE MARILLAC

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

## Provider details

- **NPI number:** 1588660906
- **Authorized official:** MS. JESSICA KLINE (FINANCE)
- **Authorized official phone:** (412) 548-4073

## Contact information

- **Practice address:** 5300 STANTON AVE, PITTSBURGH, PA 15206-2083
- **Practice address phone:** (412) 361-2833
- **Practice address fax:** (412) 361-2833
- **Mailing address:** 8250 BABCOCK BLVD, PITTSBURGH, PA 15237-5825
- **Mailing address phone:** (412) 548-4073
- **Mailing address fax:** (412) 348-0186

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 06/21/2005
- **Last updated:** 10/25/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0251 | HIGHMARK BC PROVIDER \# | PA |
| 05 | — | 100745620003 | — | PA |