PASSAVANT RETIREMENT AND HEALTH CENTER
Assisted Living Facility
Zelienople, Pennsylvania
Provider NPI: 1306844295
Organization Information:Organization Name: PASSAVANT RETIREMENT AND HEALTH CENTER
Practice Location:
401 S MAIN ST ZELIENOPLE, PA 16063 US
Tel: 724-776-1100 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
401 S MAIN ST ZELIENOPLE, PA 16063 US
Tel: 724-776-1100 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | ||
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | PA | 163602 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
0007566400001 | PA | 05 | |
BLUE CROSS | 0632 | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin