MEDICARE: PERMANENCE LIVING LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1972454791
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PERMANENCE LIVING LLC

Provider Business Mailing Address
First Line	:	118 MCKINLEY AVE
Second Line	:
City	:	LANSDOWNE
State	:	PA
Zip	:	19050-2017
Country	:	US
Telephone Number	:	808-223-6258
Fax Number	:

Provider Business Practice Location Address
First Line	:	118 MCKINLEY AVE
Second Line	:
City	:	LANSDOWNE
State	:	PA
Zip	:	19050-2017
Country	:	US
Telephone Number	:	808-223-6258
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MR. VANDETH SEK
Credential	:
Telephone Number	:	808-223-6258

Provider Enumeration Date	:	02/06/2026
Last Update Date	:	02/06/2026

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Directions to “PERMANENCE LIVING LLC ” Practice Location

Language	Start Address	Practice Location

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