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Organization

PA CONNECTING COMMUNITIES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. PEGGY MANNELLA (EXECUTIVE DIRECTOR)
(412) 621-6151
Entity
Organization

Contact information

Practice address
4401 BUTLER ST, PITTSBURGH, PA 15201-3011
(412) 621-6151
(412) 621-6154
Mailing address
4401 BUTLER ST, PITTSBURGH, PA 15201-3011
(412) 621-6151
(412) 621-6154

Taxonomy

Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
75501236
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
101475010
WAIVER
PA
Enumeration date
02/06/2014
Last updated
02/06/2014
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