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Organization
SENIOR CHOICE,INC
Active
Organization
SENIOR CHOICE,INC
Active
Parent organization
SENIOR CHOICE
Other names
The Patriot A Choice Community
Organization subpart
Yes
Provider details
NPI number
Legal business name
SENIOR CHOICE
Authorized official
MRS. MARIA FISHER NHA (NURSING HOME ADMINISTRATOR)
(814) 445-4549
Entity
Organization
Contact information
Practice address
495 W PATRIOT ST, SOMERSET, PA 15501-1503
(814) 445-4549
(814) 443-2631
Mailing address
495 W PATRIOT ST, SOMERSET, PA 15501-1503
(814) 445-4549
(814) 443-2631
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
167902
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0663
BLUE CROSS PROVIDER ID
PA
05
—
1001324140008
—
PA
01
—
1474635
UMWA PROVIDER ID
PA
01
—
1801893664
NPI
PA
01
—
732237
BLACK LUNG PROVIDER ID
PA
Enumeration date
07/07/2005
Last updated
04/29/2009
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