Organization Name: | PYRAMID HEALTHCARE INC. |
NPI Number: | 1053433755 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JONATHAN WOLF (CEO) |
Mailing Address: | 101 W High St Suite 120 3rd. Floor Ebensburg |
State: | PA US |
Postal Code: | 159311538 |
Phone Number: | 8144729104 |
Fax Number: | 8144729105 |
NPI Enumeration Date: | 04/04/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251K00000X |
License Number: | 117051 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | PA |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Public Health or Welfare |
Taxonomy Specialization: | |
Taxonomy Definition: |