Organization
LECOM AT ELMWOOD GARDENS LLC
Active
Parent organization
MILLCREEK MANOR
Organization subpart
Yes
Provider details
NPI number
Legal business name
MILLCREEK MANOR
Authorized official
OLIVIA WARE (CFO)
(814) 881-5234
Entity
Organization
Contact information
Practice address
2628 ELMWOOD AVE, ERIE, PA 16508-1421
(814) 864-4802
(814) 864-7044
Mailing address
5535 PEACH ST, ERIE, PA 16509-2603
(814) 881-5234
(814) 871-4545
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
08/17/2023
Last updated
08/17/2023
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