MEDICARE: PYRAMID, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251C00000X	Developmentally Disabled Services Day Training Agency	672182696	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1144656208
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PYRAMID, INC

Provider Business Mailing Address
First Line	:	311 N SPRING ST
Second Line	:
City	:	PENSACOLA
State	:	FL
Zip	:	32501-4827
Country	:	US
Telephone Number	:	850-438-4679
Fax Number	:	850-438-1708

Provider Business Practice Location Address
First Line	:	311 N SPRING ST
Second Line	:
City	:	PENSACOLA
State	:	FL
Zip	:	32501-4827
Country	:	US
Telephone Number	:	850-438-4679
Fax Number	:	850-438-1708

Authorized Official
Title or Position	:	ACCOUNTING MANAGER
Name	:	MARTHA H NALL
Credential	:
Telephone Number	:	850-438-4679

Provider Enumeration Date	:	09/20/2013
Last Update Date	:	09/20/2013

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Directions to “PYRAMID, INC ” Practice Location

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