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Organization

PRESBYTERIAN HOMES IN THE PRESBYTERY OF LAKE ERIE

Active
Other names
Manchester Commons
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
6351 W LAKE RD, ERIE, PA 16505-2676
(814) 838-9191
(814) 838-2901
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
075602
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1007538560005
PA
01
1108
HIGHMARK/KHPW
PA
Enumeration date
08/12/2006
Last updated
05/17/2013
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