# PRESBYTERIAN HOME OF REDSTONE PRESBYTERY

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

## Provider details

- **NPI number:** 1275649634
- **Authorized official:** MR. TIMOTHY JOHN REEVES PCA (ADMINISTRATOR)
- **Authorized official phone:** (814) 255-5539

## Contact information

- **Practice address:** 787 GOUCHER ST, JOHNSTOWN, PA 15905-3028
- **Practice address phone:** (814) 255-5539
- **Practice address fax:** (814) 254-1809
- **Mailing address:** 787 GOUCHER ST, JOHNSTOWN, PA 15905-3028
- **Mailing address phone:** (814) 255-5539
- **Mailing address fax:** (814) 254-1809

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 680102 | PA | Yes |

## Other

- **Enumeration date:** 08/21/2006
- **Last updated:** 08/08/2011