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Organization
LECOM AT VILLAGE SQUARE, LLC
Active
Organization
LECOM AT VILLAGE SQUARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAIME BABIAK PHARMD, MHSA (DIRECTOR OF LTC OPERATIONS)
(814) 452-3271
Entity
Organization
Contact information
Practice address
149 W 22ND ST, ERIE, PA 16502-2804
(814) 452-3271
Mailing address
5535 PEACH ST, ERIE, PA 16509-2603
(814) 452-3271
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
05/21/2019
Last updated
10/24/2019
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