LAFAYETTE MANOR, INC.
Skilled Nursing Facility
Uniontown, Pennsylvania
Provider NPI: 1508869652
Organization Information:Organization Name: LAFAYETTE MANOR, INC.
Practice Location:
147 LAFAYETTE MANOR RD UNIONTOWN, PA 15401 US
Tel: 724-430-4848 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:
147 LAFAYETTE MANOR RD UNIONTOWN, PA 15401 US
Tel: 724-430-4848 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
X | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | PA | 120202 |
X | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | PA | 409610 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
BLUECROSS PROVIDER NUMBER | 0544 | PA | 01 |
0007479900003 | PA | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin