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BARR STREET CORPORATION

>> Nursing Facility/Intermediate Care Facility >> Nursing & Custodial Care Facilities

Registrant NPI Number: 1275536880

Organizational Registrant:
Organization Name:  BARR STREET CORPORATION
Organization is not Subpart
Authorized Official:  BENJAMIN  KATSEVICH  ADMINISTRATOR  724--74-65040

Location and contact information for practice:
300 BARR ST  CANONSBURG, PA 15317 US
Tel: 724-746-5040  Fax: 724-873-9074

Contact information for business:
300 BARR ST  CANONSBURG, PA 15317 US
Tel: 724-746-5040  Fax: 724-873-9074

Registration Information:
NPI: 1275536880
Entity Type: Organization

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N313M00000XNursing & Custodial Care Facilities
Nursing Facility/Intermediate Care Facility
PA035702
Y314000000XNursing & Custodial Care Facilities
Skilled Nursing Facility
PA035702

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
001184080003PA05
HIGHMARK BLUE CROSS0581PA01




HEALTH CARE JOBS PA - Page 1



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