| NPI | 1003933250 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY LYNN HOWELLS Administrator 724-349-6505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility (Licence: PA 3302734) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2020-08-22 |