Organization
VIRTUOUS MARIE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DELYNN HARRIS (CHIEF EXECUTIVE OFFICER)
(412) 770-3162
Entity
Organization
Contact information
Practice address
322 N SHORE DR, 200, PITTSBURGH, PA 15212-5870
(412) 770-3162
(412) 770-3101
Mailing address
322 N SHORE DR, 200, PITTSBURGH, PA 15212-5870
(412) 770-3162
(412) 770-3101
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
28523601
PA
253Z00000X
In Home Supportive Care Agency
Primary
28523601
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2852
MEDICARE
PA
Enumeration date
08/01/2016
Last updated
10/27/2016
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