Organization Name: | PYRAMID HEALTHCARE INC. |
NPI Number: | 1073635736 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JONATHAN WOLF (CEO) |
Mailing Address: | Rr 3 Box 174 Tyrone |
State: | PA US |
Postal Code: | 166869526 |
Phone Number: | 8146849484 |
Fax Number: | 8146849445 |
NPI Enumeration Date: | 04/04/2007 |
NPI Last Update Date: | 11/21/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251K00000X |
License Number: | 318120 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Public Health or Welfare |
Taxonomy Specialization: | |
Taxonomy Definition: |