Senior Life Greensburg, INC
PACE Provider Organization in Greensburg, PA. Organization (NPI-2).
NPI number1003166802
StatusActive
Last updated in NPPESSep 26, 2016
Details
- NPI
- 1003166802
- Entity type
- Organization (NPI-2)
- Legal business name
- Senior Life Greensburg, INC
- Organization subpart
- No
- Enumeration date
- Sep 19, 2012
- Last updated
- Sep 26, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251T00000X | PACE Provider Organization | – | – | Yes |
| 261QA0600X | Clinic/Center, Adult Day Care | 075064 | PA |
Other names
- Senior Life Greensburg (Doing Business As)
Practice location
123 Triangle DriveGreensburg, PA 15601-3510
Phone 724-838-8300
Mailing address
209 Sigma DrPittsburgh, PA 15238-2826
Phone 412-963-9150 · Fax 412-963-6676
Authorized official
Herbert H Hennell
Dir. Of Reimbursement
4129639150
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