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Organization
ESSENT HEALTHCARE - WAYNESBURG LLC
Active
Organization
ESSENT HEALTHCARE - WAYNESBURG LLC
Active
Other names
SRMC Skilled Nursing Unit
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN L. PAGE (VICE PRESIDENT)
(615) 844-9849
Entity
Organization
Contact information
Practice address
350 BONAR AVE, WAYNESBURG, PA 15370-1608
(724) 627-2645
Mailing address
350 BONAR AVE, WAYNESBURG, PA 15370-1608
(724) 627-2645
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
852102
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1015525580001
—
PA
Enumeration date
01/25/2007
Last updated
02/11/2014
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