Organization
PRESBYTERIAN HOMES IN THE PRESBYTERY OF LAKE ERIE
Active
Other names
Elmwood Gardens
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY C SEIB (VICE PRESIDENT / CFO)
(814) 314-1718
Entity
Organization
Contact information
Practice address
2628 ELMWOOD AVE, ERIE, PA 16508-1421
(814) 864-4802
(814) 864-7044
Mailing address
1225 SCHOOL RD, ERIE, PA 16505-2691
(814) 314-1718
(814) 314-1749
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
680202
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0660
HIGHMARK/KHPW
PA
05
—
1007538560006
—
PA
Enumeration date
07/20/2005
Last updated
05/17/2013
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