Organization
NEW LIFE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHALA SMITH (PRESIDENT)
(412) 376-3955
Entity
Organization
Contact information
Practice address
10989 FRANKSTOWN RD, PITTSBURGH, PA 15235-3045
(412) 376-3955
Mailing address
10989 FRANKSTOWN RD, PITTSBURGH, PA 15235-3045
(412) 376-3955
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
CER00114380
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103246615
—
PA
Enumeration date
04/23/2018
Last updated
04/23/2018
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