Provider Demographics
NPI:1104815976
Name:LITTLE SISTERS OF THE POOR OF PA
Entity type:Organization
Organization Name:LITTLE SISTERS OF THE POOR OF PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:VINCENT
Authorized Official - Last Name:MANNION
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-307-1100
Mailing Address - Street 1:1028 BENTON AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15212-1607
Mailing Address - Country:US
Mailing Address - Phone:412-307-1100
Mailing Address - Fax:412-307-0074
Practice Address - Street 1:1028 BENTON AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15212-1607
Practice Address - Country:US
Practice Address - Phone:412-307-1100
Practice Address - Fax:412-307-0074
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-14
Last Update Date:2023-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA0007507900001314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility