Organization
SHENANGO PRESBYTERIAN SENIORCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROLINE DEAUGUSTINE (EXECUTIVE DIRECTOR)
(724) 946-3516
Entity
Organization
Contact information
Practice address
238 S MARKET ST, NEW WILMINGTON, PA 16142-1212
(724) 946-3516
(724) 946-3412
Mailing address
238 S MARKET ST, NEW WILMINGTON, PA 16142-1212
(724) 946-3516
(724) 946-3412
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
191102
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014732730001
—
PA
01
—
1399
BLUE CROSS
—
Enumeration date
10/11/2005
Last updated
07/11/2012
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