Organization
LECOM AT ASBURY RIDGE LLC
Active
Parent organization
MILLCREEK MANOR
Other names
Saint Mary's at Asbury Ridge
Organization subpart
Yes
Provider details
NPI number
Legal business name
MILLCREEK MANOR
Authorized official
JAMES LIN DO (PRESIDENT)
(814) 844-2858
Entity
Organization
Contact information
Practice address
4855 W RIDGE RD, ERIE, PA 16506-1213
(814) 790-1790
Mailing address
5535 PEACH ST, ERIE, PA 16509-2603
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
11/25/2024
Last updated
02/03/2025
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