Provider Demographics
NPI:1760832182
Name:PHRQL, INC
Entity Type:Organization
Organization Name:PHRQL, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:T
Authorized Official - Last Name:SANDBERG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-996-8400
Mailing Address - Street 1:6101 PENN AVE
Mailing Address - Street 2:STE 301
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15206-3926
Mailing Address - Country:US
Mailing Address - Phone:412-996-8400
Mailing Address - Fax:
Practice Address - Street 1:6101 PENN AVE
Practice Address - Street 2:STE 301
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15206-3926
Practice Address - Country:US
Practice Address - Phone:412-996-8400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-16
Last Update Date:2016-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes132700000XDietary & Nutritional Service ProvidersDietary ManagerGroup - Multi-Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty