# LECOM AT ASBURY RIDGE LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MILLCREEK MANOR
- **Other names:** Saint Mary's at Asbury Ridge
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1811713746
- **Legal business name:** MILLCREEK MANOR
- **Authorized official:** JAMES LIN DO (PRESIDENT)
- **Authorized official phone:** (814) 844-2858

## Contact information

- **Practice address:** 4855 W RIDGE RD, ERIE, PA 16506-1213
- **Practice address phone:** (814) 790-1790
- **Mailing address:** 5535 PEACH ST, ERIE, PA 16509-2603

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 11/25/2024
- **Last updated:** 02/03/2025