# LECOM AT PRESQUE ISLE INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LECOM HEALTH
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1215392824
- **Legal business name:** LECOM HEALTH
- **Authorized official:** RICHARD P OLINGER (CFO)
- **Authorized official phone:** (814) 868-7767

## Contact information

- **Practice address:** 4114 SCHAPER AVE, ERIE, PA 16508-3350
- **Practice address phone:** (814) 868-0831
- **Practice address fax:** (814) 868-7778
- **Mailing address:** 4114 SCHAPER AVE, ERIE, PA 16508-3350
- **Mailing address phone:** (814) 868-0831
- **Mailing address fax:** (814) 868-7778

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 53042 | PA | Yes |

## Other

- **Enumeration date:** 12/24/2015
- **Last updated:** 12/24/2015