Organization
PRESSLEY RIDGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORA KOST (BILLING SUPERVISOR)
(412) 872-9422
Entity
Organization
Contact information
Practice address
2611 STAYTON ST, PITTSBURGH, PA 15212-2759
(412) 872-9400
(412) 872-9478
Mailing address
5500 CORPORATE DR STE 400, PITTSBURGH, PA 15237-5848
(412) 872-9400
(412) 872-9478
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100003088
—
PA
Enumeration date
04/13/2021
Last updated
04/13/2021
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