NPI 1932868122
Dwayne Jordan
Practice location
- Address
- 5817 Penn Ave, Pittsburgh, PA 15206-3816
- Phone
- (412) 294-2555
- Fax
- (412) 450-8538
- Mailing address
- 6611 Wilkins Ave, Pittsburgh, PA 15217-1316
Authorised official
- Name
- Dwayne Jordan
- Title
- Owner
- Phone
- (412) 294-2555
Registered specialties
Home Delivered Meals
Primary
Registry record
- NPI
- 1932868122
- Entity type
- Organization
- NPI issued
- 15 Dec 2021
- Record last updated
- 15 Dec 2021
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.