Lecom Senior Living Center
Nutritionist, Nutrition, Education in Erie, PA. Organization (NPI-2).
NPI number1891237665
StatusActive
Last updated in NPPESNov 10, 2016
Details
- NPI
- 1891237665
- Entity type
- Organization (NPI-2)
- Legal business name
- Lecom Senior Living Center
- Organization subpart
- Yes
- Enumeration date
- Nov 10, 2016
- Last updated
- Nov 10, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133NN1002X | Nutritionist, Nutrition, Education | 806473 | – | Yes |
Other names
- Millcreek Manor (Former Legal Business Name)
Practice location
5535 Peach StreetErie, PA 16509-8528
Phone 814-868-3820 · Fax 814-868-3887
Mailing address
5535 Peach StreetErie, PA 16509-8528
Phone 814-868-3820 · Fax 814-868-3887
Authorized official
Melanie Rae Titzel
Director Of Operations
81486833812
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