Provider Demographics
NPI:1326049271
Name:SETON MANOR, INC
Entity Type:Organization
Organization Name:SETON MANOR, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSING HOME ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ARLENE
Authorized Official - Middle Name:SABLOWSKI
Authorized Official - Last Name:POSTUPAK
Authorized Official - Suffix:
Authorized Official - Credentials:NHA
Authorized Official - Phone:570-366-7600
Mailing Address - Street 1:1000 SETON DR
Mailing Address - Street 2:
Mailing Address - City:ORWIGSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17961-1009
Mailing Address - Country:US
Mailing Address - Phone:570-366-0400
Mailing Address - Fax:570-366-1970
Practice Address - Street 1:1000 SETON DR
Practice Address - Street 2:
Practice Address - City:ORWIGSBURG
Practice Address - State:PA
Practice Address - Zip Code:17961-1009
Practice Address - Country:US
Practice Address - Phone:570-366-0400
Practice Address - Fax:570-366-1970
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-02
Last Update Date:2008-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA096902314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001740081Medicaid
PA396063Medicare ID - Type Unspecified