Healthcare Provider Details

I. General information

NPI: 1508374844
Provider Name (Legal Business Name): ELIZABETH SETON CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/22/2018
Last Update Date: 01/22/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 PIONEER AVE
PITTSBURGH PA
15226-1218
US

IV. Provider business mailing address

1900 PIONEER AVE
PITTSBURGH PA
15226-1218
US

V. Phone/Fax

Practice location:
  • Phone: 412-561-8400
  • Fax: 412-561-8488
Mailing address:
  • Phone: 412-561-8400
  • Fax: 412-561-8488

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number060300
License Number StatePA

VIII. Authorized Official

Name: MS. JUDY ANN GAWLAS
Title or Position: COORDINATOR OF SENIOR SERVICES
Credential:
Phone: 412-344-4777