Provider Demographics
NPI:1699937904
Name:GUARDIAN ELDER CARE AT CURWENSVILLE LLC
Entity type:Organization
Organization Name:GUARDIAN ELDER CARE AT CURWENSVILLE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:BILLING SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTY
Authorized Official - Middle Name:E
Authorized Official - Last Name:GRAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-265-7886
Mailing Address - Street 1:PO BOX 240
Mailing Address - Street 2:8796 ROUTE 219 VSI BUILDING
Mailing Address - City:BROCKWAY
Mailing Address - State:PA
Mailing Address - Zip Code:15824-6010
Mailing Address - Country:US
Mailing Address - Phone:814-265-1164
Mailing Address - Fax:814-265-1377
Practice Address - Street 1:1223 SCHOFIELD STREET EXT
Practice Address - Street 2:
Practice Address - City:CURWENSVILLE
Practice Address - State:PA
Practice Address - Zip Code:16833-6849
Practice Address - Country:US
Practice Address - Phone:814-236-2038
Practice Address - Fax:814-236-8318
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GUARDIAN ELDER CARE MANAGEMENT, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-06-27
Last Update Date:2008-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility