# GUARDIAN ELDER CARE AT ERIE I LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Western Reserve Healthcare and Rehabilitation Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295281665
- **Authorized official:** MICHAEL EPERESI (CFO)
- **Authorized official phone:** (814) 265-1164

## Contact information

- **Practice address:** 1521 W 54TH ST, ERIE, PA 16509-2620
- **Practice address phone:** (814) 864-0671
- **Mailing address:** 8796 ROUTE 219, BROCKWAY, PA 15824-6010

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 480802 | PA | — |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 08/26/2016
- **Last updated:** 08/25/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 103167816-0001 | — | PA |
