# PRESBYTERIAN HOMES IN THE PRESBYTERY OF LAKE ERIE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Elmwood Gardens
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508865627
- **Authorized official:** MR. GARY C SEIB (VICE PRESIDENT / CFO)
- **Authorized official phone:** (814) 314-1718

## Contact information

- **Practice address:** 2628 ELMWOOD AVE, ERIE, PA 16508-1421
- **Practice address phone:** (814) 864-4802
- **Practice address fax:** (814) 864-7044
- **Mailing address:** 1225 SCHOOL RD, ERIE, PA 16505-2691
- **Mailing address phone:** (814) 314-1718
- **Mailing address fax:** (814) 314-1749

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 680202 | PA | Yes |

## Other

- **Enumeration date:** 07/20/2005
- **Last updated:** 05/17/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0660 | HIGHMARK/KHPW | PA |
| 05 | — | 1007538560006 | — | PA |