# REBECCA RESIDENCE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Concordia at Rebecca residence
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184629149
- **Authorized official:** MICHAEL KAUFMAN (NURSING HOME ADMINISTRATOR)
- **Authorized official phone:** (724) 444-0600

## Contact information

- **Practice address:** 3746 CEDAR RIDGE RD, ALLISON PARK, PA 15101-1048
- **Practice address phone:** (724) 444-0600
- **Practice address fax:** (724) 444-6621
- **Mailing address:** 3746 CEDAR RIDGE RD, ALLISON PARK, PA 15101-1048
- **Mailing address phone:** (724) 444-0600
- **Mailing address fax:** (724) 444-6621

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 860102 | PA | Yes |

## Other

- **Enumeration date:** 06/16/2005
- **Last updated:** 05/02/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1329 | SKILLED NURSING | PA |