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NPI Code Detail

MEDICARE: THE BALL PAVILION

MEDICARE: THE BALL PAVILION
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
1314000000XSkilled Nursing Facility540302PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1891786604
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE BALL PAVILION
Provider Business Mailing Address
First Line : 5416 E LAKE RD
Second Line :
City : ERIE
State : PA
Zip : 16511-1427
Country : US
Telephone Number : 814-899-8600
Fax Number : 814-898-1910
Provider Business Practice Location Address
First Line : 5416 E LAKE RD
Second Line :
City : ERIE
State : PA
Zip : 16511-1427
Country : US
Telephone Number : 814-899-8600
Fax Number : 814-898-1910
Authorized Official
Title or Position : PRESIDENT BVFI
Name : MR. GEORGE WILLIAM HUNTER
Credential :
Telephone Number : 814-899-8600
Provider Enumeration Date : 11/01/2005
Last Update Date : 08/22/2020

Similar Medicare Providers

1225352362 — MRS. MICHELE MARIE LATZO SLP
Practice Location Address:
5416 E LAKE RD
ERIE, PA
16511-1427
Practice Phone: 814-899-8600
Practice Fax: 814-898-1919
1720302649 — MR. JAMES ROGERS FOSTER PT
Practice Location Address:
5416 E LAKE RD
ERIE, PA
16511-1427
Practice Phone: 814-899-8600
Practice Fax: 814-898-1910
1760706683 — CAROL BETH MASTERS MS, OTR/L
Practice Location Address:
5416 E LAKE RD
ERIE, PA
16511-1427
Practice Phone: 814-899-8600
Practice Fax: 814-898-1910
1770807695 — MRS. MICHELLE MARIE HENSON PT
Practice Location Address:
5416 E LAKE RD
ERIE, PA
16511-1427
Practice Phone: 814-899-8600
Practice Fax: 814-898-1910
1003130923 — MRS. JULIE V. LEONARD MS. SLP/L
Practice Location Address:
5416 E LAKE RD
ERIE, PA
16511-1427
Practice Phone: 814-899-8600
Practice Fax:
1932424363 — NANCY STEELE PT
Practice Location Address:
5416 E LAKE RD
ERIE, PA
16511-1427
Practice Phone: 814-899-8600
Practice Fax: 814-898-1910

Directions to “THE BALL PAVILION ” Practice Location

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