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General NPI Number Information
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NPI Number | 1649277625
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Entity Type | Organization
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Legal Business Name | ST. PAUL HOMES
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Dates
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Enumeration Date | 07/05/2005
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Last Update Date | 04/11/2025
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Provider Practice Location Address
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Address Line | 339 E JAMESTOWN RD
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City | GREENVILLE
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State | PA
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Zip | 16125-9206
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Country | US
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Telephone | 724-588-9613
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Fax |
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Provider Business Mailing Address
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Address Line | 339 E JAMESTOWN RD
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City | GREENVILLE
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State | PA
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Zip | 16125-9206
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Country | US
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Telephone | 724-588-7610
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. G. BRYAN OROS
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Credential |
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Telephone | 724-588-7610
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 971602
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License Number State | PA
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