Organization
REST HAVEN PERSONAL CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARILYN DERESH (ADMINISTRATOR)
(724) 746-4666
Entity
Organization
Contact information
Practice address
122 VALLEY RD, CANONSBURG, PA 15317-1218
(724) 746-3333
Mailing address
314 ROSS ST, HOUSTON, PA 15342-1142
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
448360
PA
Other
Enumeration date
09/18/2007
Last updated
09/18/2007
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