Healthcare Provider Details
I. General information
NPI: 1609375096
Provider Name (Legal Business Name): FORBES PA MANAGEMENT, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/12/2018
Last Update Date: 02/12/2018
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6655 FRANKSTOWN AVE
PITTSBURGH PA
15206-4148
US
IV. Provider business mailing address
1981 MARCUS AVE STE C129
NEW HYDE PARK NY
11042-1017
US
V. Phone/Fax
- Phone: 412-627-6230
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 314000000X |
| Taxonomy | Skilled Nursing Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
PHILIP
FRIEDMAN
Title or Position: MANAGING MEMEBER
Credential:
Phone: 516-596-5222