Organization
CAREGIVERS OF SOUTHWESTERN PA
Active
Organization
CAREGIVERS OF SOUTHWESTERN PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY PRIMUS (DIRECTOR)
(724) 834-5774
Entity
Organization
Contact information
Practice address
143 HARTMAN RD, OAKLEY PARK II SUITE 207-ROUTE 30 EAST, GREENSBURG, PA 15601-7220
(724) 834-5774
(724) 834-5399
Mailing address
143 HARTMAN RD, OAKLEY PARK II SUITE 207-ROUTE 30 EAST, GREENSBURG, PA 15601-7220
(724) 834-5774
(724) 834-5399
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
401310
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
401310
STATE LICENSE
PA
Enumeration date
12/04/2007
Last updated
07/09/2015
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