Organization Name: | GOOD SAMARITAN HOSPICE OF PITTSBURGH |
NPI Number: | 1104816206 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANZIE K. KELLEY (EXECUTIVE DIRECTOR) |
Mailing Address: | 3500 Brooktree Rd Ste 320 Wexford |
State: | PA US |
Postal Code: | 150909277 |
Phone Number: | 7249338888 |
Fax Number: | 7249338844 |
NPI Enumeration Date: | 10/28/2005 |
NPI Last Update Date: | 03/24/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 16291600 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |