Millcreek Manor

LBN: Millcreek Manor
Millcreek Manor is an health care organization with primary practice located at 5535 Peach St , Erie PA 16509-2603. The organization recently has only one registered license in Suppliers / Pharmacy, which is considered as the primary health care specialty. Millcreek Manor can be contacted via phone (814) 868-2496, or through Demauri, Erica via phone (814) 868-2496.

Contact Information

Primary practice address
5535 Peach St Erie PA 16509-2603
Phone: (814) 868-2496
Fax: (814) 868-2581
Website:
Map and Directions
Authorized official contact:
Name: Demauri, Erica
Phone: (814) 868-2496

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X

Profile Details

NPI number 1588272884
LBN Legal business name Millcreek Manor
DBA Doing business as
Authorized official Demauri, Erica
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 22nd, 2020
Last updated Aug 31st, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588272884 NPPES
Pennsylvania MEDICAID 0012079290002

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