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Organization

MARIAN MANOR CORPORATION

Active
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Organization

MARIAN MANOR CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SUSAN LEWANDOWSKI NHA (VP OF CLINICAL SERVICES)
(412) 440-4300
Entity
Organization

Contact information

Practice address
2695 WINCHESTER DRIVE, PITTSBURGH, PA 15220-4099
(412) 440-4300
(412) 563-1250
Mailing address
2695 WINCHESTER DRIVE, PITTSBURGH, PA 15220-4099
(412) 440-4300
(412) 563-1250

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
131002
PA
314000000X
Skilled Nursing Facility
Primary
131002
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0493
HIGHMARK
—
05
—
100191845
—
PA
01
—
305645
BLUE SHIELD
—
Enumeration date
10/11/2005
Last updated
10/02/2014
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