Organization
AMA SUPPORT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL DAVID ANSELL (CEO)
(724) 944-3853
Entity
Organization
Contact information
Practice address
14390 ROUTE 30, NORTH HUNTINGDON, PA 15642-1050
(724) 944-3853
(412) 223-4310
Mailing address
PO BOX 10806, PITTSBURGH, PA 15236-0806
(724) 944-3853
(412) 223-4310
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
6459807
PA
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
6459807
PA
Other
Enumeration date
12/30/2016
Last updated
01/06/2017
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