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Organization
TRINITY LIVING CENTER, LP
Active
Organization
TRINITY LIVING CENTER, LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN D TACK NHA (CEO)
(724) 431-0770
Entity
Organization
Contact information
Practice address
400 HILLCREST AVE, GROVE CITY, PA 16127-1708
(724) 431-0770
(724) 431-0764
Mailing address
400 HILLCREST AVE, GROVE CITY, PA 16127-1708
(724) 431-0770
(724) 431-0764
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
330102
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018464740001
—
PA
01
—
119691
UNISON
PA
01
—
1375
HIGHMARK BC
—
01
—
1524764
GATEWAY HP
PA
01
—
320495
UPMC
—
01
—
4458820001
NHIC, CORP
MA
01
—
4809046
CIGNA
PA
Enumeration date
08/30/2005
Last updated
08/14/2014
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