Organization
MARIAN MANOR CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN LEWANDOWSKI NHA (VP OF CLINICAL SERVICES)
(412) 440-4300
Entity
Organization
Contact information
Practice address
2695 WINCHESTER DRIVE, PITTSBURGH, PA 15220-4099
(412) 440-4300
(412) 563-1250
Mailing address
2695 WINCHESTER DRIVE, PITTSBURGH, PA 15220-4099
(412) 440-4300
(412) 563-1250
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
131002
PA
314000000X
Skilled Nursing Facility
Primary
131002
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0493
HIGHMARK
—
05
—
100191845
—
PA
01
—
305645
BLUE SHIELD
—
Enumeration date
10/11/2005
Last updated
10/02/2014
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