Organization
ABUNDANT LIVING AT PETERSONS INC
Active
Organization
ABUNDANT LIVING AT PETERSONS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH PETERSON (CEO CFO)
(412) 231-7866
Entity
Organization
Contact information
Practice address
3884 EAST ST, PITTSBURGH, PA 15214-2029
(412) 231-7866
Mailing address
3884 EAST ST, PITTSBURGH, PA 15214-2029
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
CER-00114910
PA
Other
Enumeration date
11/13/2017
Last updated
11/22/2017
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up