Organization
SKY VUE TERRACE-PITTSBURGH PA LLC
Active
Other names
ManorCare Health Services-Northside
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARTIN D ALLEN (DIRECTOR)
(419) 252-5743
Entity
Organization
Contact information
Practice address
2170 RHINE ST, PITTSBURGH, PA 15212-3569
(412) 323-0420
(412) 323-0811
Mailing address
333 N SUMMIT ST, TOLEDO, OH 43604-2615
(419) 252-5500
(877) 385-9446
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
192902
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1020610080001
—
PA
Enumeration date
05/27/2006
Last updated
05/08/2017
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