| NPI | 1265584833 |
|---|---|
| Doing Business As | SENIOR LIFE JOHNSTOWN |
| Entity Type | Organization |
| Authorized Contact | HERBERT H HENNELL Director Of Reimbursement 412-963-9150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251T00000X PACE Provider Organization |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care (Licence: PA 104070) |
| 253Z00000X In Home Supportive Care (Licence: PA 9963601) | |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2016-09-26 |