Organization
PASSAVANT MEMORIAL HOMES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE BROWN (UTILIZATION COORDINATOR)
(412) 820-1010
Entity
Organization
Contact information
Practice address
2550 EISENHOWER AVEUNE, NORRISTOWN, PA 19403-2331
(412) 820-1010
(412) 820-9246
Mailing address
100 PASSAVANT WAY, PITTSBURGH, PA 15238-1318
(412) 820-1010
(412) 820-9246
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
164W00000X
Licensed Practical Nurse
—
—
251S00000X
Community/Behavioral Health Agency
Primary
439240
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100001216
MASTER PROVIDER INDEX
PA
Enumeration date
11/01/2016
Last updated
11/01/2016
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