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1578721312 NPI number — PRATT PERSONAL CARE HOME

NPI Number: 1578721312
Health Care Provider/Practitioner: PRATT PERSONAL CARE HOME

Information about “1578721312” NPI (PRATT PERSONAL CARE HOME) exists in 1578721312 in HTML format HTML  |  1578721312 in plain Text format TXT  |  1578721312 in PDF (Portable Document Format) PDF  |  1578721312 in an XML format XML  formats.

NPI Number : 1578721312 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1578721312",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "PRATT PERSONAL CARE HOME",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "BOX 263",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CARMICHAELS",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "15320",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "724-966-2120",
    "MailingAddressFaxNumber": "724-966-7951",
    "FirstLinePracticeLocationAddress": "179 PRATT ROAD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CARMICHAELS",
    "PracticeLocationAddressStateName": "PA",
    "PracticeLocationAddressPostalCode": "15320",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "724-966-2120",
    "PracticeLocationAddressFaxNumber": "724-966-7951",
    "EnumerationDate": "05/29/2008",
    "LastUpdateDate": "05/29/2008",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "PRATT",
    "AuthorizedOfficialFirstName": "BETTY",
    "AuthorizedOfficialMiddleName": "JEAN",
    "AuthorizedOfficialTitle": "ADMINISTRATOR",
    "AuthorizedOfficialNamePrefix": "MRS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "724-966-2120",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "310400000X",
        "TaxonomyName": "Assisted Living Facility",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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