Organization
LECOM HOME CARE
Active
Parent organization
MILLCREEK MANOR
Organization subpart
Yes
Provider details
NPI number
Legal business name
MILLCREEK MANOR
Authorized official
MELANIE TITZEL (CONTROLLER)
(814) 868-3812
Entity
Organization
Contact information
Practice address
2253 W GRANDVIEW BLVD, ERIE, PA 16506-4507
(814) 454-2831
(814) 453-5357
Mailing address
5535 PEACH ST, ERIE, PA 16509-2603
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
11/27/2017
Last updated
11/02/2018
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