Family 1579 LLC
Family 1579 LLC is a Supports Brokerage Agency in Indiana, Pennsylvania. Registered with an NPI since 2026.
- In the registry since
- 2026
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
420 Oak StIndiana, PA 15701-1934
Phone: (724) 464-4641
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Supports Brokerage Agency (primary) | Taxonomy 251X00000X |
|---|
Record details
| NPI number | 1306792601 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Michael Booth — Owner · (724) 464-4641 |
| NPI enumerated | March 9, 2026 |
| Last updated in NPPES | March 9, 2026 |
| Certification date | March 9, 2026 |
| Mailing address | 420 Oak St, Indiana, PA 15701-1934 |