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NPI 1578407052

NPI 1578407052 : PRESBYTERIAN SENIORCARE : WASHINGTON, PA

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General NPI Number Information
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    NPI Number           |    1578407052
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    Entity Type          |    Organization 
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    Legal Business Name  |    PRESBYTERIAN SENIORCARE 
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Dates
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    Enumeration Date     |    04/16/2026
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    Last Update Date     |    04/16/2026
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Provider Practice Location Address
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    Address Line         |    954 REDSTONE RD 
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    City                 |    WASHINGTON
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    State                |    PA
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    Zip                  |    15301-3243
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    Country              |    US
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    Telephone            |    724-884-1269
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    954 REDSTONE RD 
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    City                 |    WASHINGTON
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    State                |    PA
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    Zip                  |    15301-3243
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    Country              |    US
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    Telephone            |    724-884-1269
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    Fax                  |    
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Authorized Official
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    Title or Position    |    VP CARE COMMUNITIES
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    Name                 |     ROBERTA  GRAY 
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    Credential           |    
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    Telephone            |    814-314-1711
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    311ZA0620X
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    Taxonomy Name        |    Adult Care Home Facility
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    261QA0600X
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    Taxonomy Name        |    Adult Day Care Clinic/Center
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    License Number       |    
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    License Number State |    
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