MEDICARE: ADAGIO HEALTH INC.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	133N00000X	Nutritionist
2	133V00000X	Registered Dietitian
3	133NN1002X	Nutrition Education Nutritionist

General Provider Information

NPI Number	:	1780778936
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADAGIO HEALTH INC.

Provider Business Mailing Address
First Line	:	960 PENN AVE
Second Line	:	SUITE 600
City	:	PITTSBURGH
State	:	PA
Zip	:	15222-3818
Country	:	US
Telephone Number	:	412-288-2130
Fax Number	:	412-288-9036

Provider Business Practice Location Address
First Line	:	2418 FREEPORT RD
Second Line	:
City	:	NATRONA HEIGHTS
State	:	PA
Zip	:	15065-1659
Country	:	US
Telephone Number	:	724-224-1530
Fax Number	:	724-224-0749

Authorized Official
Title or Position	:	PRESIDENT/CEO
Name	:	BJ LEBER
Credential	:
Telephone Number	:	412-288-2130

Provider Enumeration Date	:	10/03/2006
Last Update Date	:	05/27/2015

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Directions to “ADAGIO HEALTH INC. ” Practice Location

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