Organization
MAGAMBO'S PEACEFUL PALACE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANEISA MAGAMBO (OWNER)
(814) 691-1618
Entity
Organization
Contact information
Practice address
930 MANTON WAY, PITTSBURGH, PA 15210-1744
(814) 691-1618
Mailing address
930 MANTON WAY, PITTSBURGH, PA 15210-1744
(814) 691-1618
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
05/29/2023
Last updated
05/29/2023
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