Organization
LECOM AT VILLAGE SQUARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAIME BABIAK PHARMD, MHSA (DIRECTOR OF LTC OPERATIONS)
(814) 452-3271
Entity
Organization
Contact information
Practice address
149 W 22ND ST, ERIE, PA 16502-2804
(814) 452-3271
Mailing address
5535 PEACH ST, ERIE, PA 16509-2603
(814) 452-3271
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
05/21/2019
Last updated
10/24/2019
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