# LECOM AT ELMWOOD GARDENS LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MILLCREEK MANOR
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1073396636
- **Legal business name:** MILLCREEK MANOR
- **Authorized official:** OLIVIA WARE (CFO)
- **Authorized official phone:** (814) 881-5234

## Contact information

- **Practice address:** 2628 ELMWOOD AVE, ERIE, PA 16508-1421
- **Practice address phone:** (814) 864-4802
- **Practice address fax:** (814) 864-7044
- **Mailing address:** 5535 PEACH ST, ERIE, PA 16509-2603
- **Mailing address phone:** (814) 881-5234
- **Mailing address fax:** (814) 871-4545

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 08/17/2023
- **Last updated:** 08/17/2023