# REST HAVEN PERSONAL CARE HOME

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

## Provider details

- **NPI number:** 1134315708
- **Authorized official:** MARILYN DERESH (ADMINISTRATOR)
- **Authorized official phone:** (724) 746-4666

## Contact information

- **Practice address:** 122 VALLEY RD, CANONSBURG, PA 15317-1218
- **Practice address phone:** (724) 746-3333
- **Mailing address:** 314 ROSS ST, HOUSTON, PA 15342-1142

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | 448360 | PA | Yes |

## Other

- **Enumeration date:** 09/18/2007
- **Last updated:** 09/18/2007