LECOM SENIOR LIVING CENTER NPI 1891237665

NPI Information

NPI: 1891237665
Provider Name: LECOM SENIOR LIVING CENTER

Former Legal Business Name: MILLCREEK MANOR

Classification: Nutritionist - 133NN1002X
Entity Type: Organization

Specialization: Nutrition, Education

Address:
5535 PEACH STREET
ERIE, PA
ZIP 16509
Phone: (814) 868-3820
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LECOM SENIOR LIVING CENTER is a nutrition and education nutritionist in Erie, PA. LECOM SENIOR LIVING CENTER NPI is 1891237665. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Millcreek Manor.

The provider's business location address is:

5535 PEACH STREET
ERIE, PA
ZIP 16509-528
Phone: (814) 868-3820
Fax: (814) 868-3887

The provider's authorized official is Melanie Rae Titzel .
The authorized official title is Director Of Operations and has the following contact phone number 81486833812.

The enumeration date for this NPI number is 11/10/2016 and was last updated on 11/10/2016.

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	133NN1002X	Nutritionist	Nutrition, Education	806473		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: 11/14/2023

NPI Synchronization or Removal

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