Organization · Type 2 NPI

Erie Independence House, Inc.

Nursing Facility/Intermediate Care Facility · Erie, PA

NPI number 1629108741 Active

Practice location

3108 Zuck Rd
Erie, PA 16506-3161

Fax (814) 835-1772

Mailing address

1611 Peach St, Suite 145
Erie, PA 16501-2109

Specialties and licenses

TaxonomyCodeLicense
Nursing Facility/Intermediate Care Facility Primary 313M00000X805640 (PA)

Nursing Facility/Intermediate Care Facility: An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical conditi…

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About NPI 1629108741

Erie Independence House, Inc.'s National Provider Identifier is 1629108741, issued on Mar 7, 2007. The primary taxonomy on file is Nursing Facility/Intermediate Care Facility (313M00000X), and the practice location is in Erie, PA. The record was last updated on Aug 22, 2020.