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Organization

BAPTIST HOMES SOCIETY

Active
Other names
Baptist Homes of Western Pennsylvania
Organization subpart
No

Provider details

NPI number
Authorized official
DIANE MICKAIL (CONTROLLER)
(412) 572-8240
Entity
Organization

Contact information

Practice address
489 CASTLE SHANNON BLVD, PITTSBURGH, PA 15234-1419
(412) 572-8240
(412) 572-8294
Mailing address
489 CASTLE SHANNON BLVD, PITTSBURGH, PA 15234-1419
(412) 572-8240
(412) 572-8294

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
047490
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0974694
PA
Enumeration date
08/12/2006
Last updated
12/30/2009
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