Organization
LECOM SENIOR LIVING CENTER
Active
Parent organization
MILLCREEK MANOR
Other names
Millcreek Manor
Organization subpart
Yes
Provider details
NPI number
Legal business name
MILLCREEK MANOR
Authorized official
DR. MELANIE RAE TITZEL PH.D. (DIRECTOR OF OPERATIONS)
81486833812
Entity
Organization
Contact information
Practice address
5535 PEACH STREET, ERIE, PA 16509-8528
(814) 868-3820
(814) 868-3887
Mailing address
5535 PEACH STREET, ERIE, PA 16509-8528
(814) 868-3820
(814) 868-3887
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
806473
—
Other
Enumeration date
11/10/2016
Last updated
11/10/2016
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