Organization
ENVOY OF SOMERSET, LLC
Active
Other names
Siemon's Lakeview Manor Nursing and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH USSERY (VP)
(407) 571-1550
Entity
Organization
Contact information
Practice address
228 SIEMON DR, SOMERSET, PA 15501-7055
(814) 443-2811
(814) 445-3210
Mailing address
228 SIEMON DR, SOMERSET, PA 15501-7055
(814) 443-2811
(814) 445-3210
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
970202
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1026044800001
—
PA
Enumeration date
05/24/2011
Last updated
11/27/2023
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