Organization
CITY MISSION-LIVING STONES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEXTER I SMART MSW (DIR. OF OPERATIONS)
(724) 439-0201
Entity
Organization
Contact information
Practice address
287 CLEVELAND AVE, UNIONTOWN, PA 15401-3744
(724) 430-0418
(724) 439-5561
Mailing address
P. O. BOX 943, 155 NORTH GALLATIN AVENUE, UNIONTOWN, PA 15401-2989
(724) 439-0201
(724) 439-5561
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
416250
PA
Other
Enumeration date
10/29/2013
Last updated
10/29/2013
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