Organization
DWAYNE JORDAN
Active
Other names
Abraham Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
DWAYNE JORDAN (DIRECTOR)
(412) 294-2555
Entity
Organization
Contact information
Practice address
6611 WILKINS AVE, PITTSBURGH, PA 15217-1316
(412) 294-2555
Mailing address
6611 WILKINS AVENUE, PITTSBURGH, PA 15217
(412) 294-2555
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
258361
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2583601
—
PA
Enumeration date
07/24/2014
Last updated
08/22/2014
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