Provider Demographics
NPI:1679746325
Name:TROSIEKS PERSONAL CARE HOME
Entity Type:Organization
Organization Name:TROSIEKS PERSONAL CARE HOME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:J
Authorized Official - Last Name:TROSIEK KETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-245-0203
Mailing Address - Street 1:PO BOX 535
Mailing Address - Street 2:
Mailing Address - City:NEW SALEM
Mailing Address - State:PA
Mailing Address - Zip Code:15468-0535
Mailing Address - Country:US
Mailing Address - Phone:724-245-0203
Mailing Address - Fax:
Practice Address - Street 1:214 SECOND STREET
Practice Address - Street 2:
Practice Address - City:NEW SALEM
Practice Address - State:PA
Practice Address - Zip Code:15468-1016
Practice Address - Country:US
Practice Address - Phone:724-245-0203
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-02
Last Update Date:2008-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home