ST MARY'S HOME OF ERIE
Assisted Living Facility
Erie, Pennsylvania
Provider NPI: 1710928254
Organization Information:Organization Name: ST MARY'S HOME OF ERIE
Practice Location:
607 E 26TH ST ERIE, PA 16504 US
Tel: 814-459-0621 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:
607 E 26TH ST ERIE, PA 16504 US
Tel: 814-459-0621 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | PA | 447630 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
1007457470001 | PA | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin