Provider Demographics
NPI:1114598935
Name:RR HEALTH SERVICES OF PA PC
Entity Type:Organization
Organization Name:RR HEALTH SERVICES OF PA PC
Other - Org Name:TRILOGY WELLNESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:REGIONAL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAVILLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:877-446-6331
Mailing Address - Street 1:300 HANSEN PLZ
Mailing Address - Street 2:
Mailing Address - City:LYNDORA
Mailing Address - State:PA
Mailing Address - Zip Code:16045-1610
Mailing Address - Country:US
Mailing Address - Phone:877-446-6331
Mailing Address - Fax:855-919-6051
Practice Address - Street 1:2526 MONROEVILLE BLVD STE 102
Practice Address - Street 2:
Practice Address - City:MONROEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15146-2372
Practice Address - Country:US
Practice Address - Phone:877-446-6331
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:REGARD MGT PA LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-07-02
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-SpecialtyGroup - Multi-Specialty
No171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty
No207QA0401XAllopathic & Osteopathic PhysiciansFamily MedicineAddiction MedicineGroup - Multi-Specialty
No207RA0401XAllopathic & Osteopathic PhysiciansInternal MedicineAddiction MedicineGroup - Multi-Specialty
No261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use DisorderGroup - Multi-Specialty