Organization
VINCENTIAN HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SISTER ANNE KULL NHA (ADMINISTRATOR)
(412) 366-5600
Entity
Organization
Contact information
Practice address
111 PERRYMONT RD, PITTSBURGH, PA 15237-5239
(412) 366-5600
(412) 366-1408
Mailing address
8250 BABCOCK BLVD, PITTSBURGH, PA 15237-5825
(412) 548-4073
(412) 348-0186
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0647
HIGHMARK PROVIDER NUMBER
PA
05
—
1007499890003
—
PA
Enumeration date
06/22/2005
Last updated
10/31/2011
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