MEDICARE: ROOM FOR GROWTH LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251C00000X	Developmentally Disabled Services Day Training Agency
2	251E00000X	Home Health Agency
3	310400000X	Assisted Living Facility
4	314000000X	Skilled Nursing Facility
5	385H00000X	Respite Care
6	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1932972379
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROOM FOR GROWTH LLC

Provider Business Mailing Address
First Line	:	653 MAYTIDE ST
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15227-1731
Country	:	US
Telephone Number	:	510-289-7211
Fax Number	:

Provider Business Practice Location Address
First Line	:	653 MAYTIDE ST
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15227-1731
Country	:	US
Telephone Number	:	510-289-7211
Fax Number	:

Authorized Official
Title or Position	:	CEO/OWNER/DIRECTOR
Name	:	MS. TAYLOR JESSICA WOODS
Credential	:
Telephone Number	:	510-289-7211

Provider Enumeration Date	:	11/06/2023
Last Update Date	:	11/06/2023

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Directions to “ROOM FOR GROWTH LLC ” Practice Location

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