Provider Demographics
NPI:1154798940
Name:TD OPERE ET VIRITATE, INC
Entity type:Organization
Organization Name:TD OPERE ET VIRITATE, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/ PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TODD
Authorized Official - Middle Name:
Authorized Official - Last Name:GWIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-600-7766
Mailing Address - Street 1:913 DEERFIELD CIR
Mailing Address - Street 2:
Mailing Address - City:WEXFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15090-9750
Mailing Address - Country:US
Mailing Address - Phone:412-600-7766
Mailing Address - Fax:412-203-4272
Practice Address - Street 1:913 DEERFIELD CIR
Practice Address - Street 2:
Practice Address - City:WEXFORD
Practice Address - State:PA
Practice Address - Zip Code:15090-9750
Practice Address - Country:US
Practice Address - Phone:412-600-7766
Practice Address - Fax:412-203-4272
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-27
Last Update Date:2015-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA05560501251E00000X
PA24663601253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health