# SAINT MARY'S HOME OF ERIE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** DBA SAINT MARY'S AT ASBURY RIDGE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649276742
- **Authorized official:** AUDREY URBAN NHA (ADMINISTRATOR)
- **Authorized official phone:** (814) 836-5305

## Contact information

- **Practice address:** 4855 W RIDGE RD, ERIE, PA 16506-1213
- **Practice address phone:** (814) 836-5300
- **Practice address fax:** (814) 451-1394
- **Mailing address:** 4855 W RIDGE RD, ERIE, PA 16506-1213
- **Mailing address phone:** (814) 836-5300
- **Mailing address fax:** (814) 451-1394

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 15440201 | PA | Yes |

## Other

- **Enumeration date:** 06/23/2005
- **Last updated:** 11/17/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1007457470003 | — | PA |