# PENNSYLVANIA DEPARTMENT OF MILITARY AND VETERANS' AFFAIRS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pennsylvania Soldiers' and Sailors' Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588761845
- **Authorized official:** MR. THOMAS REED JR. (FISCAL SERVICES ADMINISTRATOR)
- **Authorized official phone:** (814) 242-7789

## Contact information

- **Practice address:** 560 E 3RD ST, ERIE, PA 16507-1753
- **Practice address phone:** (814) 871-4531
- **Practice address fax:** (814) 871-4617
- **Mailing address:** PO BOX 6239, ERIE, PA 16512-6239
- **Mailing address phone:** (814) 871-4531
- **Mailing address fax:** (814) 871-4617

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2865M2000X | Military General Acute Care Hospital | 198202 | PA | — |
| 310400000X | Assisted Living Facility | 448290 | PA | — |
| 313M00000X | Nursing Facility/Intermediate Care Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 09/20/2006
- **Last updated:** 05/24/2022