Individual
DEWAYNE SPIVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2545 RAILROAD ST, PITTSBURGH, PA 15222-7602
(252) 969-8045
Mailing address
2545 RAILROAD ST, PITTSBURGH, PA 15222-7602
(252) 969-8045
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
45013601
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45013601
HOME CARE
PA
05
—
45013601
—
PA
Enumeration date
10/18/2019
Last updated
10/18/2019
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