Organization
A PLACE CALLED HOME INDEPENDENT LIVING COMMUNITIES OF PENNSYLVANIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DENISE RENEE PAYNE (EXECUTIVE VICE PRESIDENT)
(412) 969-6358
Entity
Organization
Contact information
Practice address
709 TREFOIL CT STE 3, MONROEVILLE, PA 15146-3544
(412) 888-7079
Mailing address
709 TREFOIL CT STE 3, MONROEVILLE, PA 15146-3544
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
04/11/2019
Last updated
04/11/2019
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