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Organization

ON-SITE COMPANIONSHIP SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STEVEN CLYDE WILLIAMS JR. (CEO)
(412) 606-7095
Entity
Organization

Contact information

Practice address
1425 OBERLIN ST, PITTSBURGH, PA 15206-1957
(412) 901-1341
Mailing address
260 CRANDON BLVD STE 18, KEY BISCAYNE, FL 33149-1537
(412) 606-7095

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
3104A0625X
Assisted Living Facility (Mental Illness)
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
385H00000X
Respite Care

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
103499208
PA
Enumeration date
06/26/2020
Last updated
07/16/2020
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