# CHERRY LANE MANOR

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

## Provider details

- **NPI number:** 1124268990
- **Authorized official:** RANDY WOFFORD (OWNER-ADMINISTRATOR)
- **Authorized official phone:** (724) 859-7766

## Contact information

- **Practice address:** 627 SAWYER LN, APOLLO, PA 15613-8019
- **Practice address phone:** (724) 859-7766
- **Mailing address:** 627 SAWYER LN, APOLLO, PA 15613-8019
- **Mailing address phone:** (724) 859-7766

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | 426600 | PA | Yes |

## Other

- **Enumeration date:** 03/05/2009
- **Last updated:** 03/05/2009