Organization Name: | PENNSYLVANIA TRINITY HOSPICE |
NPI Number: | 1821049404 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | AMY MARIE WHITLEY (BILLING MANAGER) |
Mailing Address: | 2020 Ardmore Blvd Bldg 3, Suite 210 Pittsburgh |
State: | PA US |
Postal Code: | 152214608 |
Phone Number: | 4023514494 |
Fax Number: | 9723860704 |
NPI Enumeration Date: | 05/16/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 158599 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |