Organization
MASON MANOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETTY MASON RN, BSN, PCHA (ADMINISTRATOR)
(724) 353-9511
Entity
Organization
Contact information
Practice address
244 N PIKE RD, SARVER, PA 16055-9735
(724) 353-9511
Mailing address
244 N PIKE RD, SARVER, PA 16055-9735
(724) 353-9511
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
473980
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
473980
DEPT OF PUBLIC WELFARE
PA
Enumeration date
09/10/2008
Last updated
09/10/2008
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