Organization
JASMINE NYREE HOME
Active
Other names
Jasmine Nyree Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARQUE RUDOLPH STANSBERRY (DIRECTOR OF SUPPORTIVE SERVICES)
(412) 520-8401
Entity
Organization
Contact information
Practice address
3048 ASHLYN STREET, PITTSBURGH, PA 15204
(412) 520-8401
(412) 520-8401
Mailing address
3011 LANDIS ST, PITTSBURGH, PA 15204-1713
(412) 520-8401
(412) 520-8401
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
310400000X
Assisted Living Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
385H00000X
Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
03/07/2025
Last updated
03/07/2025
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