| NPI | 1336289446 |
|---|---|
| Other Name | LIFE BEAVER |
| Entity Type | Organization |
| Authorized Contact | SUSAN Q DIGIROLAMO C. F. O. 724-776-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251T00000X PACE Provider Organization (Licence: PA 043820) |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: PA 043820) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2007-10-12 |