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Organization

ST. ANNE HOME

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SR. BERNICE MARIE FIEDOR NHA (ADMINISTRATOR)
(724) 837-6070
Entity
Organization

Contact information

Practice address
685 ANGELA DR, GREENSBURG, PA 15601-2655
(724) 837-6070
(724) 837-6099
Mailing address
685 ANGELA DR, GREENSBURG, PA 15601-2655
(724) 837-6070
(724) 837-6099

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
190202
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0007552950001
PA
01
0217
HIGHMARK PROVIDER NUMBER
PA
Enumeration date
05/23/2005
Last updated
03/31/2008
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