Organization · Type 2 NPI

Abundant Living at Petersons Inc

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

NPI number 1407369408 Active

Practice location

3884 East St
Pittsburgh, PA 15214-2029

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse 164W00000XNone listed
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000XCER-00114910 (PA)

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

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About NPI 1407369408

Abundant Living at Petersons Inc's National Provider Identifier is 1407369408, issued on Nov 13, 2017. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Pittsburgh, PA. The record was last updated on Nov 22, 2017.