Provider Demographics
NPI:1932393055
Name:JEWISH RESIDENTIAL SERVICES INC
Entity Type:Organization
Organization Name:JEWISH RESIDENTIAL SERVICES INC
Other - Org Name:JEWISH RESIDENTIAL SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COMPLIANCE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:LABOVICK
Authorized Official - Suffix:
Authorized Official - Credentials:RNBC, CPRP
Authorized Official - Phone:412-325-0039
Mailing Address - Street 1:2609 MURRAY AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15217-2418
Mailing Address - Country:US
Mailing Address - Phone:412-325-0039
Mailing Address - Fax:412-621-4260
Practice Address - Street 1:2609 MURRAY AVE STE 101
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15217-2418
Practice Address - Country:US
Practice Address - Phone:412-422-1850
Practice Address - Fax:412-422-9519
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-31
Last Update Date:2023-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health