Organization
OMICELO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADRIENNE L WALNOHA MSW, LSW NAHB CAPS (DIRECTOR, COMMUNITY HEALTH INITIATI)
(412) 598-4952
Entity
Organization
Contact information
Practice address
1435 BEDFORD AVENUE, PITTSBURGH, PA 15219-3675
(412) 598-4952
(412) 598-4952
Mailing address
1435 BEDFORD AVENUE, PITTSBURGH, PA 15219-3675
(412) 598-4952
(412) 598-4952
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103729110
—
PA
Enumeration date
03/21/2024
Last updated
03/21/2024
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