Provider Demographics
NPI:1568298644
Name:EUGENE G. SALOOM FUNERAL SERVICES ,INC
Entity type:Organization
Organization Name:EUGENE G. SALOOM FUNERAL SERVICES ,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:REGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-547-2122
Mailing Address - Street 1:730 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MT PLEASANT
Mailing Address - State:PA
Mailing Address - Zip Code:15666-1804
Mailing Address - Country:US
Mailing Address - Phone:724-547-2122
Mailing Address - Fax:724-547-5199
Practice Address - Street 1:730 W MAIN ST
Practice Address - Street 2:
Practice Address - City:MT PLEASANT
Practice Address - State:PA
Practice Address - Zip Code:15666-1804
Practice Address - Country:US
Practice Address - Phone:724-547-2122
Practice Address - Fax:724-547-5199
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-13
Last Update Date:2024-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176P00000XOther Service ProvidersFuneral DirectorGroup - Multi-Specialty