Organization
SUGARCREEK STATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM ANTHONY NIGRO CPA (CHIEF FINANCIAL OFFICER)
(412) 864-3532
Entity
Organization
Contact information
Practice address
351 CAUSEWAY DR, FRANKLIN, PA 16323-5523
(814) 437-0100
(814) 437-1337
Mailing address
200 LOTHROP ST STE 10097, PITTSBURGH, PA 15213-2536
(412) 864-3532
(412) 864-3554
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
220602
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000014030004
—
PA
Enumeration date
09/29/2006
Last updated
09/10/2020
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