Organization
MILLCREEK MANOR
Active
Other names
LECOM Heath Dialysis, LECOM Senior Living Center
Organization subpart
No
Provider details
NPI number
Authorized official
ERICA DEMAURI (CONTROLLER)
(814) 868-2496
Entity
Organization
Contact information
Practice address
5535 PEACH ST, ERIE, PA 16509-2603
(814) 868-7395
(814) 868-2581
Mailing address
5535 PEACH ST, ERIE, PA 16509-2603
(814) 868-7395
(814) 868-2581
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
03/31/2021
Last updated
03/31/2021
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