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Organization
ALPINE MANOR, INC.
Active
Organization
ALPINE MANOR, INC.
Active
Other names
Erie at Bayside
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THEODORE M. DUAY III CPA (CFO)
(305) 892-1790
Entity
Organization
Contact information
Practice address
4114 SCHAPER AVE, ERIE, PA 16508-3350
(305) 892-1790
(305) 538-2699
Mailing address
1680 MICHIGAN AVE, SUITE 736, MIAMI BEACH, FL 33139-2538
(305) 892-1790
(305) 538-2699
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
530402
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4163612
—
PA
Enumeration date
05/14/2007
Last updated
08/22/2020
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