Organization · Type 2 NPI
Family 1579 Llc.
Supports Brokerage Agency · Indiana, PA
Practice location
420 Oak St
Indiana, PA 15701-1934
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Supports Brokerage Agency Primary | 251X00000X | None listed |
Supports Brokerage Agency: A provider of service/function that assists participating individuals to make informed decisions about what will work best for them is consistent with their needs and reflects their individual circumstances. Serving as the agent of the individual, the service is available to assist in identifying immediate and long-term needs, developing options to meet those needs and accessing identified supports and services and …
About NPI 1306792601
Family 1579 Llc.'s National Provider Identifier is 1306792601, issued on Mar 9, 2026. The primary taxonomy on file is Supports Brokerage Agency (251X00000X), and the practice location is in Indiana, PA. The record was last updated on Mar 9, 2026.