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Organization
LECOM HOME CARE
Active
Organization
LECOM HOME CARE
Active
Parent organization
MILLCREEK MANOR
Organization subpart
Yes
Provider details
NPI number
Legal business name
MILLCREEK MANOR
Authorized official
MELANIE TITZEL (CONTROLLER)
(814) 868-3812
Entity
Organization
Contact information
Practice address
2253 W GRANDVIEW BLVD, ERIE, PA 16506-4507
(814) 454-2831
(814) 453-5357
Mailing address
5535 PEACH ST, ERIE, PA 16509-2603
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
11/27/2017
Last updated
11/02/2018
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