Healthcare Provider Details

I. General information

NPI: 1689730004
Provider Name (Legal Business Name): SCHENLEY GARDENS CORF LP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/29/2006
Last Update Date: 07/19/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3890 BIGELOW BLVD
PITTSBURGH PA
15213-1152
US

IV. Provider business mailing address

3890 BIGELOW BLVD
PITTSBURGH PA
15213-1152
US

V. Phone/Fax

Practice location:
  • Phone: 412-621-4200
  • Fax:
Mailing address:
  • Phone: 412-621-4200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code261QR0401X
TaxonomyComprehensive Outpatient Rehabilitation Facility (CORF)
License Number
License Number StatePA

VIII. Authorized Official

Name: MARC D KOSSMAN
Title or Position: VICE PRESIDENT
Credential:
Phone: 412-921-6100