Organization
INTEGRATED HEALTH OF LOCUST VALLEY ROAD, INC.
Active
Other names
IHS of Greater Pittsburgh
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THEODORE M DUAY III CPA (CFO)
(305) 892-1790
Entity
Organization
Contact information
Practice address
890 WEATHERWOOD LN, GREENSBURG, PA 15601-5777
(305) 892-1790
(305) 538-2699
Mailing address
1680 MICHIGAN AVE, SUITE 736, MIAMI BEACH, FL 33139-2538
(305) 892-1790
(305) 538-2699
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
092002
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007393380002
—
PA
Enumeration date
05/11/2007
Last updated
08/22/2020
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