# MASON MANOR

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

## Provider details

- **NPI number:** 1346499712
- **Authorized official:** BETTY MASON RN, BSN, PCHA (ADMINISTRATOR)
- **Authorized official phone:** (724) 353-9511

## Contact information

- **Practice address:** 244 N PIKE RD, SARVER, PA 16055-9735
- **Practice address phone:** (724) 353-9511
- **Mailing address:** 244 N PIKE RD, SARVER, PA 16055-9735
- **Mailing address phone:** (724) 353-9511

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | 473980 | PA | Yes |

## Other

- **Enumeration date:** 09/10/2008
- **Last updated:** 09/10/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 473980 | DEPT OF PUBLIC WELFARE | PA |