Organization
PRESBYTERIAN SENIORCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW E. MANGENE (SR. VICE PRESIDENT/CFO)
(412) 826-6081
Entity
Organization
Contact information
Practice address
1215 HULTON RD, OAKMONT, PA 15139-1135
(412) 826-6032
(412) 826-6061
Mailing address
1215 HULTON RD, OAKMONT, PA 15139-1135
(412) 826-6032
(412) 826-6061
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
HP416587L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007769120001
—
PA
Enumeration date
06/15/2005
Last updated
08/22/2020
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