Organization
NOT FORGOTTEN HOME AND COMMUNITY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHAN WILLIAMS (DIRECTOR OF OPERATIONS)
(412) 330-7652
Entity
Organization
Contact information
Practice address
225 COMMONWEALTH AVE, WEST MIFFLIN, PA 15122-1927
(412) 330-7652
(412) 595-7379
Mailing address
225 COMMONWEALTH AVE, WEST MIFFLIN, PA 15122-1927
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
PN253222L
PA
251C00000X
Developmentally Disabled Services Day Training Agency
—
PA
251E00000X
Home Health Agency
—
PA
251J00000X
Nursing Care Agency
Primary
—
PA
253Z00000X
In Home Supportive Care Agency
—
PA
310400000X
Assisted Living Facility
—
PA
311500000X
Alzheimer Center (Dementia Center)
—
PA
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
PA
385H00000X
Respite Care
—
PA
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1588117725
—
PA
Enumeration date
11/18/2016
Last updated
04/06/2017
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