# SUGARCREEK STATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063504645
- **Authorized official:** WILLIAM ANTHONY NIGRO CPA (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (412) 864-3532

## Contact information

- **Practice address:** 351 CAUSEWAY DR, FRANKLIN, PA 16323-5523
- **Practice address phone:** (814) 437-0100
- **Practice address fax:** (814) 437-1337
- **Mailing address:** 200 LOTHROP ST STE 10097, PITTSBURGH, PA 15213-2536
- **Mailing address phone:** (412) 864-3532
- **Mailing address fax:** (412) 864-3554

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 220602 | PA | Yes |

## Other

- **Enumeration date:** 09/29/2006
- **Last updated:** 09/10/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1000014030004 | — | PA |
