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Erie Independence House, Inc.
Nursing Facility/Intermediate Care Facility in Erie, Pennsylvania
NPI 1629108741

Erie Independence House, Inc. is a Nursing Facility/Intermediate Care Facility based in Erie, PA. Erie Independence House, Inc. practices in Erie, PA. The NPI Number for Erie Independence House, Inc. is 1629108741 and holds a License No. 805640 (Pennsylvania).

The current practice location address for Erie Independence House, Inc. is 3108 Zuck Rd, Erie, PA and can be reached out via phone at 814-833-9955 and via fax at 814-835-1772. You can also correspond with Erie Independence House, Inc. through the mailing address at 1611 PEACH ST, ERIE, PA - 16501-2109 (mailing address contact number: 814-461-9188).

Location: 3108 Zuck Rd, Erie, PA, 16501-2109
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1629108741
Provider Name
Erie Independence House, Inc.
Credential
Provider Entity Type
Organization
Address
3108 Zuck Rd, Erie, PA, 16501-2109
Phone Number
814-833-9955
Fax Number
814-835-1772
Provider Enumeration Date
03/07/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1007694800001 05 PA
institution
Provider Business Practice Location Address Details
Address
3108 Zuck Rd
City
Erie
State
Pennsylvania
Zip
16506-3161
Phone Number
814-833-9955
Fax Number
814-835-1772
person
Provider Business Mailing Address Details
Address
3108 Zuck Rd
City
Erie
State
Pennsylvania
Zip
16506-3161
Phone Number
814-833-9955
Fax Number
814-835-1772
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Nursing Facility/Intermediate Care Facility
Speciality
-
Taxonomy
313M00000X
License No.
805640 (Pennsylvania)
Definition
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 condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
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