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NPI Code Detail

MEDICARE: NEW LIFE SERVICES LLC

MEDICARE: NEW LIFE SERVICES LLC
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
1261QD1600XDevelopmental Disabilities Clinic/CenterCER00114380PA

Other Identifiers

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

General Provider Information

NPI Number : 1871081117
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEW LIFE SERVICES LLC
Provider Business Mailing Address
First Line : 10989 FRANKSTOWN RD
Second Line :
City : PITTSBURGH
State : PA
Zip : 15235-3045
Country : US
Telephone Number : 412-376-3955
Fax Number :
Provider Business Practice Location Address
First Line : 10989 FRANKSTOWN RD
Second Line :
City : PITTSBURGH
State : PA
Zip : 15235-3045
Country : US
Telephone Number : 412-376-3955
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : MICHALA SMITH
Credential :
Telephone Number : 412-376-3955
Provider Enumeration Date : 04/23/2018
Last Update Date : 04/23/2018

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Directions to “NEW LIFE SERVICES LLC ” Practice Location

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