Organization
WOODLAND PLACE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DREW C PIERCE CPA (CHIEF OPERATING OFFICER)
(724) 662-5400
Entity
Organization
Contact information
Practice address
745 GREENVILLE RD, MERCER, PA 16137-5023
(724) 662-5400
(724) 662-2043
Mailing address
745 GREENVILLE RD, MERCER, PA 16137-5023
(724) 662-5400
(724) 662-2043
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
132402
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001279
HIGHMARK MANAGED CARE
PA
05
—
0016782520001
—
PA
01
—
V0044A
UPMC MANAGED CARE
PA
Enumeration date
11/09/2005
Last updated
01/04/2010
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