NPI 1407369408

Abundant Living at Petersons INC

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Pittsburgh, PA

Practice location

Address: 3884 East St, Pittsburgh, PA 15214-2029
Phone: (412) 231-7866

Authorised official

Name: Kenneth Peterson
Title: Ceo Cfo
Phone: (412) 231-7866

Registered specialties (2)

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X Licence CER-00114910 (PA)

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Pennsylvania →

Licensed Practical Nurse

Nursing Service Providers Taxonomy 164W00000X

Other Licensed Practical Nurse providers in Pennsylvania →

Registry record

NPI: 1407369408
Entity type: Organization
NPI issued: 13 Nov 2017
Record last updated: 22 Nov 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.