MEDICARE: MORGAN DEPAOLO

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number State
1	171WH0202X	Home Modifications Contractor	PA
2	251G00000X	Community Based Hospice Care Agency	PA
3	253Z00000X	In Home Supportive Care Agency	PA
4	385HR2065X	Child Physical Disabilities Respite Care	PA
5	372600000X	Adult Companion	PA

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	:	1447737820
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MORGAN DEPAOLO

Provider Business Mailing Address
First Line	:	3154 CHARTIERS AVE
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15204-2254
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3154 CHARTIERS AVE
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15204-2254
Country	:	US
Telephone Number	:	412-520-2001
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/27/2018
Last Update Date	:	07/27/2018

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Directions to “ MORGAN DEPAOLO ” Practice Location

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