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Organization
ENVOY OF SOMERSET, LLC
Active
Organization
ENVOY OF SOMERSET, LLC
Active
Other names
Siemon's Lakeview Manor Nursing and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH USSERY (VP)
(407) 571-1550
Entity
Organization
Contact information
Practice address
228 SIEMON DR, SOMERSET, PA 15501-7055
(814) 443-2811
(814) 445-3210
Mailing address
228 SIEMON DR, SOMERSET, PA 15501-7055
(814) 443-2811
(814) 445-3210
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
970202
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1026044800001
—
PA
Enumeration date
05/24/2011
Last updated
11/27/2023
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