Provider Demographics
NPI:1053537795
Name:LIFESWORK OF WESTERN PA
Entity type:Organization
Organization Name:LIFESWORK OF WESTERN PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP CFO
Authorized Official - Prefix:
Authorized Official - First Name:SARA
Authorized Official - Middle Name:
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-471-2600
Mailing Address - Street 1:1323 FORBES AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15219-4725
Mailing Address - Country:US
Mailing Address - Phone:412-471-2600
Mailing Address - Fax:412-316-2143
Practice Address - Street 1:1323 FORBES AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15219-4725
Practice Address - Country:US
Practice Address - Phone:412-471-2600
Practice Address - Fax:412-316-2143
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA416470251C00000X
PA459260251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services