Organization
RESIDENCE FOR RENAL CARE AT SHADYSIDE, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT K NEALON (VICE PRESIDENT OF FINANCE)
(412) 661-1740
Entity
Organization
Contact information
Practice address
5511 BAUM BLVD, PITTSBURGH, PA 15232-1203
(412) 661-1740
(412) 661-7688
Mailing address
5511 BAUM BLVD, PITTSBURGH, PA 15232-1203
(412) 661-1740
(412) 661-7688
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
033302
PA
Other
Enumeration date
11/22/2006
Last updated
01/14/2008
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