# COUNTY OF ALLEGHENY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** JOHN J KANE REGIONAL CENTER-GLEN HAZEL
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669462537
- **Authorized official:** MR. DAVID C POLINAK (CFO)
- **Authorized official phone:** (412) 422-6050

## Contact information

- **Practice address:** 955 RIVERMONT DR, PITTSBURGH, PA 15207-1347
- **Practice address phone:** (412) 422-6050
- **Practice address fax:** (412) 422-6966
- **Mailing address:** 955 RIVERMONT DR, ATTN: CHIEF FISCAL OFFICER, PITTSBURGH, PA 15207-1347
- **Mailing address phone:** (412) 422-6050
- **Mailing address fax:** (412) 422-6966

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 364802 | PA | Yes |

## Other

- **Enumeration date:** 10/24/2005
- **Last updated:** 12/18/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1007411200006 | — | PA |
| 05 | — | 1007463050047 | — | PA |