# MARIAN MANOR CORPORATION

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

## Provider details

- **NPI number:** 1285622456
- **Authorized official:** SUSAN LEWANDOWSKI NHA (VP OF CLINICAL SERVICES)
- **Authorized official phone:** (412) 440-4300

## Contact information

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

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | 131002 | PA | — |
| 314000000X | Skilled Nursing Facility | 131002 | PA | Yes |

## Other

- **Enumeration date:** 10/11/2005
- **Last updated:** 10/02/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0493 | HIGHMARK | — |
| 05 | — | 100191845 | — | PA |
| 01 | — | 305645 | BLUE SHIELD | — |