Organization
SENECA PLACE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM ANTHONY NIGRO CPA (CHIEF FINANCIAL OFFICER)
(412) 864-3532
Entity
Organization
Contact information
Practice address
5360 SALTSBURG RD, VERONA, PA 15147-3033
(412) 798-8000
(412) 798-5380
Mailing address
200 LOTHROP ST STE 10097, PITTSBURGH, PA 15213-2536
(412) 864-3532
(412) 864-3554
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
453302
PA
314000000X
Skilled Nursing Facility
Primary
453302
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019484380001
—
PA
01
—
0539
HIGHMARK BLUE CROSS
—
01
—
V0175B
UPMC HEALTH PLAN
—
Enumeration date
09/12/2006
Last updated
09/10/2020
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