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SUGAR CREEK REST, LTD PTR

Nursing/Intermediate Care Facility

Worthington, Pennsylvania

Provider NPI: 1386637809

Organization Information:
Organization Name:  SUGAR CREEK REST, LTD PTR


Practice Location:
120 LAKESIDE DR  WORTHINGTON, PA 16262 US
Tel: 724-445-3146  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y313M00000XNursing & Custodial Care Facilities
Nursing Facility/Intermediate Care Facility
PA195002

Other Provider Identifiers:

IssuerNumberStateType
NHIC,CORP0240400001MA01
GATEWAY HP1039012PA01
UPMC20914401
HIGHMARK BC061301
UNISON111736PA01
000966807001PA05
HEALTH AMERICA263510PA01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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