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Organization

MUSTANG ENTERPRISES, LLC

Active
Other names
Right at Home
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JAMES M STEVENS (OWNER)
(412) 788-6226
Entity
Organization

Contact information

Practice address
5450 STEUBENVILLE PIKE, MC KEES ROCKS, PA 15136-1412
(412) 788-6226
(412) 788-6228
Mailing address
5450 STEUBENVILLE PIKE, MC KEES ROCKS, PA 15136-1412
(412) 788-6226
(412) 788-6228

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
21813601
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
102776312-0003
MEDICAL ASSISTANCE PROGRAM PROVIDER
PA
Enumeration date
08/22/2016
Last updated
08/22/2016
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