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Organization
LECOM AT ELMWOOD GARDENS LLC
Active
Organization
LECOM AT ELMWOOD GARDENS LLC
Active
Parent organization
MILLCREEK MANOR
Organization subpart
Yes
Provider details
NPI number
Legal business name
MILLCREEK MANOR
Authorized official
OLIVIA WARE (CFO)
(814) 881-5234
Entity
Organization
Contact information
Practice address
2628 ELMWOOD AVE, ERIE, PA 16508-1421
(814) 864-4802
(814) 864-7044
Mailing address
5535 PEACH ST, ERIE, PA 16509-2603
(814) 881-5234
(814) 871-4545
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
NULL
Other
Enumeration date
08/17/2023
Last updated
08/17/2023
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