# SHENANGO PRESBYTERIAN SENIORCARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841288214
- **Authorized official:** MRS. CAROLINE DEAUGUSTINE (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (724) 946-3516

## Contact information

- **Practice address:** 238 S MARKET ST, NEW WILMINGTON, PA 16142-1212
- **Practice address phone:** (724) 946-3516
- **Practice address fax:** (724) 946-3412
- **Mailing address:** 238 S MARKET ST, NEW WILMINGTON, PA 16142-1212
- **Mailing address phone:** (724) 946-3516
- **Mailing address fax:** (724) 946-3412

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 191102 | PA | Yes |

## Other

- **Enumeration date:** 10/11/2005
- **Last updated:** 07/11/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0014732730001 | — | PA |
| 01 | — | 1399 | BLUE CROSS | — |