Healthcare Provider Details

I. General information

NPI: 1124101845
Provider Name (Legal Business Name): MERAKEY ALLEGHENY VALLEY SCHOOL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/24/2006
Last Update Date: 02/07/2024
Certification Date: 02/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1996 EWINGS MILL RD
CORAOPOLIS PA
15108
US

IV. Provider business mailing address

1996 EWINGS MILL RD
CORAOPOLIS PA
15108
US

V. Phone/Fax

Practice location:
  • Phone: 412-299-7777
  • Fax: 412-299-6701
Mailing address:
  • Phone: 412-299-7777
  • Fax: 412-299-6701

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code283X00000X
TaxonomyRehabilitation Hospital
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code315P00000X
TaxonomyIntellectual Disabilities Intermediate Care Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. NORMAN E TILSON JR.
Title or Position: CORP SR. DIRECTOR OF BUSINESS OPS
Credential:
Phone: 215-836-3131