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Organization
VINCENTIAN REGENCY
Active
Organization
VINCENTIAN REGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SISTER MARY ANN GENOVICH NHA (ADMINISTRATOR)
(412) 366-8540
Entity
Organization
Contact information
Practice address
9399 BABCOCK BLVD, ALLISON PARK, PA 15101-2008
(412) 366-8540
(412) 369-9789
Mailing address
9399 BABCOCK BLVD, ALLISON PARK, PA 15101-2008
(412) 366-8540
(412) 369-9789
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0576
HIGHMARK PROVIDER NUMBER
PA
05
—
1007742390003
—
PA
Enumeration date
06/22/2005
Last updated
08/22/2020
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