Organization
VERLAND CLA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROL MITCHELL (CEO)
(412) 741-2375
Entity
Organization
Contact information
Practice address
934 BRODHEAD RD, CORAOPOLIS, PA 15108-2348
(412) 264-4080
Mailing address
212 IRIS RD, SEWICKLEY, PA 15143-2402
(412) 741-2375
(412) 741-3299
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
404210
PA
Other
Enumeration date
03/15/2007
Last updated
08/22/2020
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