Organization
THE BALL PAVILION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE WILLIAM HUNTER (PRESIDENT BVFI)
(814) 899-8600
Entity
Organization
Contact information
Practice address
5416 E LAKE RD, ERIE, PA 16511-1427
(814) 899-8600
(814) 898-1910
Mailing address
5416 E LAKE RD, ERIE, PA 16511-1427
(814) 899-8600
(814) 898-1910
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
540302
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007479270001
—
PA
Enumeration date
11/01/2005
Last updated
08/22/2020
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