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Organization
PRESBYTERIAN HOMES IN THE PRESBYTERY OF LAKE ERIE
Active
Organization
PRESBYTERIAN HOMES IN THE PRESBYTERY OF LAKE ERIE
Active
Other names
Elmwood Gardens
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY C SEIB (VICE PRESIDENT / CFO)
(814) 314-1718
Entity
Organization
Contact information
Practice address
2628 ELMWOOD AVE, ERIE, PA 16508-1421
(814) 864-4802
(814) 864-7044
Mailing address
1225 SCHOOL RD, ERIE, PA 16505-2691
(814) 314-1718
(814) 314-1749
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
680202
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0660
HIGHMARK/KHPW
PA
05
—
1007538560006
—
PA
Enumeration date
07/20/2005
Last updated
05/17/2013
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