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Dwayne Jordan
Home Health Agency in Pittsburgh, Pennsylvania
NPI 1487062204

Dwayne Jordan is a Home Health Agency based in Pittsburgh, PA. Dwayne Jordan practices in Pittsburgh, PA. The NPI Number for Dwayne Jordan is 1487062204 and holds a License No. 258361 (Pennsylvania).

The current practice location address for Dwayne Jordan is 6611 Wilkins Ave, Pittsburgh, PA and can be reached out via phone at 412-294-2555.

Location: 6611 Wilkins Ave, Pittsburgh, PA, 15217
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1487062204
Provider Name
Dwayne Jordan
Credential
Provider Entity Type
Organization
Address
6611 Wilkins Ave, Pittsburgh, PA, 15217
Phone Number
412-294-2555
Fax Number
Provider Enumeration Date
07/24/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2583601 05 PA
institution
Provider Business Practice Location Address Details
Address
6611 Wilkins Ave
City
Pittsburgh
State
Pennsylvania
Zip
15217-1316
Phone Number
412-294-2555
Fax Number
person
Provider Business Mailing Address Details
Address
6611 Wilkins Ave
City
Pittsburgh
State
Pennsylvania
Zip
15217-1316
Phone Number
412-294-2555
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
258361 (Pennsylvania)
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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