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Organization
LIFESPACE COMMUNITIES INC
Active
Organization
LIFESPACE COMMUNITIES INC
Active
Parent organization
LIFESPACE COMMUNITIES INC
Other names
Friendship Village of South Hills
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIFESPACE COMMUNITIES INC
Authorized official
MR. SCOTT MICHAEL HARRISON (PRESIDENT)
(515) 288-5805
Entity
Organization
Contact information
Practice address
1290 BOYCE RD, UPPER ST CLAIR, PA 15241-3921
(724) 941-3100
(724) 941-6331
Mailing address
1290 BOYCE RD, UPPER ST CLAIR, PA 15241-3921
(724) 941-3100
(724) 941-6331
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
320102
PA
332B00000X
Durable Medical Equipment & Medical Supplies
0438250004
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011456010001
—
PA
01
—
0664
SECURITY BLUE
PA
01
—
2037510
US HEALTHCARE
PA
Enumeration date
05/19/2006
Last updated
05/04/2010
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