# RESIDENCE FOR RENAL CARE AT SHADYSIDE, LTD

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

## Provider details

- **NPI number:** 1699840645
- **Authorized official:** MR. ROBERT K NEALON (VICE PRESIDENT OF FINANCE)
- **Authorized official phone:** (412) 661-1740

## Contact information

- **Practice address:** 5511 BAUM BLVD, PITTSBURGH, PA 15232-1203
- **Practice address phone:** (412) 661-1740
- **Practice address fax:** (412) 661-7688
- **Mailing address:** 5511 BAUM BLVD, PITTSBURGH, PA 15232-1203
- **Mailing address phone:** (412) 661-1740
- **Mailing address fax:** (412) 661-7688

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 033302 | PA | Yes |

## Other

- **Enumeration date:** 11/22/2006
- **Last updated:** 01/14/2008