Organization Name: | PILGRIMAGE HEALTH CARE, LLC |
NPI Number: | 1255750964 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RICHARD EARL RUSSELL (CHIEF EXECUTIVE OFFICER) |
Mailing Address: | 2000 Cliffmine Rd Suite 100 Pittsburgh |
State: | PA US |
Postal Code: | 152751008 |
Phone Number: | 4194942154 |
Fax Number: | |
NPI Enumeration Date: | 04/09/2014 |
NPI Last Update Date: | 04/09/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |