MILLCREEK MANOR NPI 1386274199

NPI Information

NPI: 1386274199
Provider Name: MILLCREEK MANOR
Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

CLIA Number: 39D0711148

Address:
3910 SCHAPER AVE
ERIE, PA
ZIP 16508
Phone: (814) 453-5072
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MILLCREEK MANOR is an adult day care clinic center in Erie, PA. MILLCREEK MANOR NPI is 1386274199. The provider is registered as an organization entity type.

The provider's business location address is:

3910 SCHAPER AVE
ERIE, PA
ZIP 16508-346
Phone: (814) 453-5072
Fax: (814) 452-1578

The provider's authorized official is Erica Demauri .
The authorized official title is Controller and has the following contact phone number (814) 868-2496.

The CLIA number assigned to this NPI record is 39D0711148 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 1/21/2020 and was last updated on 1/21/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA0600X	Clinic/Center	Adult Day Care			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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