MEDICARE: OSHUNFEME UHURU

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	3140N1450X	Pediatric Skilled Nursing Facility	PN105961L	PA

General Provider Information

NPI Number	:	1629481833
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OSHUNFEME UHURU

Provider Business Mailing Address
First Line	:	2020 PALM AVE
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15235-1549
Country	:	US
Telephone Number	:	412-377-5419
Fax Number	:

Provider Business Practice Location Address
First Line	:	2020 PALM AVE
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15235-1549
Country	:	US
Telephone Number	:	412-377-5419
Fax Number	:

Authorized Official
Title or Position	:	LPN
Name	:	MS. OSHUNFEME IMANI UHURU
Credential	:
Telephone Number	:	412-377-5419

Provider Enumeration Date	:	06/05/2014
Last Update Date	:	06/05/2014

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