Provider Demographics
NPI:1609642933
Name:SENECA PID LLC
Entity Type:Organization
Organization Name:SENECA PID LLC
Other - Org Name:SENECA PLACE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MATHENY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:423-883-7920
Mailing Address - Street 1:5360 SALTSBURG RD
Mailing Address - Street 2:
Mailing Address - City:VERONA
Mailing Address - State:PA
Mailing Address - Zip Code:15147-3033
Mailing Address - Country:US
Mailing Address - Phone:412-798-8000
Mailing Address - Fax:412-798-5380
Practice Address - Street 1:5360 SALTSBURG RD
Practice Address - Street 2:
Practice Address - City:VERONA
Practice Address - State:PA
Practice Address - Zip Code:15147-3033
Practice Address - Country:US
Practice Address - Phone:412-798-8000
Practice Address - Fax:412-798-5380
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-28
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility