MEDICARE: NONPROFIT DEVELOPMENT CORPORATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	311ZA0620X	Adult Care Home Facility

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1295275519
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NONPROFIT DEVELOPMENT CORPORATION

Provider Business Mailing Address
First Line	:	921 GRANT AVE
Second Line	:
City	:	EAST BUTLER
State	:	PA
Zip	:	16029
Country	:	US
Telephone Number	:	724-431-3660
Fax Number	:

Provider Business Practice Location Address
First Line	:	921 GRANT AVE
Second Line	:
City	:	EAST BUTLER
State	:	PA
Zip	:	16029
Country	:	US
Telephone Number	:	724-431-3660
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	CHRISTOPHER LUNN
Credential	:
Telephone Number	:	724-431-0095

Provider Enumeration Date	:	03/06/2017
Last Update Date	:	10/24/2022

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Directions to “NONPROFIT DEVELOPMENT CORPORATION ” Practice Location

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