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Organization
MCKEAN CARE SERVICES, LP
Active
Organization
MCKEAN CARE SERVICES, LP
Active
Other names
Sena Kean Manor
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER J LICARI (PRESIDENT)
(215) 441-7700
Entity
Organization
Contact information
Practice address
17083 ROUTE 6, SMETHPORT, PA 16749-4025
(814) 887-5601
(814) 887-2085
Mailing address
17083 ROUTE 6, SMETHPORT, PA 16749-4025
(814) 887-5601
(814) 887-2085
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
195402
PA
314000000X
Skilled Nursing Facility
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101226041
—
PA
05
—
1012260410001
—
PA
Enumeration date
09/29/2005
Last updated
06/12/2009
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