Organization
BALL PAVILION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE HUNTER (CEO)
(814) 899-8600
Entity
Organization
Contact information
Practice address
5416 E LAKE RD, ERIE, PA 16511-1427
(814) 899-8600
Mailing address
5416 E LAKE RD, ERIE, PA 16511-1427
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007479270001
—
PA
Enumeration date
05/12/2010
Last updated
05/12/2010
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