Provider Demographics
NPI:1306018189
Name:CAREGIVERS OF SOUTHWESTERN PA
Entity Type:Organization
Organization Name:CAREGIVERS OF SOUTHWESTERN PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP NURSING
Authorized Official - Prefix:
Authorized Official - First Name:PEGGY
Authorized Official - Middle Name:
Authorized Official - Last Name:HAYDEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-832-4000
Mailing Address - Street 1:4963 ROUTE 30
Mailing Address - Street 2:OAKLEY PARK II SUITE 207
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-2343
Mailing Address - Country:US
Mailing Address - Phone:724-834-5774
Mailing Address - Fax:724-834-5399
Practice Address - Street 1:4963 ROUTE 30
Practice Address - Street 2:OAKLEY PARK II SUITE 207
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-6460
Practice Address - Country:US
Practice Address - Phone:724-834-5774
Practice Address - Fax:724-834-5399
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-01
Last Update Date:2009-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health