Provider Demographics
NPI:1508374844
Name:ELIZABETH SETON CENTER INC
Entity Type:Organization
Organization Name:ELIZABETH SETON CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COORDINATOR OF SENIOR SERVICES
Authorized Official - Prefix:MS
Authorized Official - First Name:JUDY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:GAWLAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-344-4777
Mailing Address - Street 1:1900 PIONEER AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15226-1218
Mailing Address - Country:US
Mailing Address - Phone:412-561-8400
Mailing Address - Fax:412-561-8488
Practice Address - Street 1:1900 PIONEER AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15226-1218
Practice Address - Country:US
Practice Address - Phone:412-561-8400
Practice Address - Fax:412-561-8488
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-22
Last Update Date:2018-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA060300261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1001499300006Medicaid