Healthcare Provider Details

I. General information

NPI: 1831450147
Provider Name (Legal Business Name): SOUTHWESTERN VETERANS CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2012
Last Update Date: 06/04/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7060 HIGHLAND DR
PITTSBURGH PA
15206-1259
US

IV. Provider business mailing address

7060 HIGHLAND DR
PITTSBURGH PA
15206-1259
US

V. Phone/Fax

Practice location:
  • Phone: 412-665-6778
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License NumberDN003321
License Number StatePA

VIII. Authorized Official

Name: MR. RICH ADAMS
Title or Position: DIRECTOR
Credential:
Phone: 412-665-6707