Provider Demographics
NPI:1689340838
Name:ELIZABETH SETON CARE CENTER
Entity Type:Organization
Organization Name:ELIZABETH SETON CARE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JACKIE
Authorized Official - Middle Name:
Authorized Official - Last Name:LONT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-853-7948
Mailing Address - Street 1:129 DEPAUL CENTER RD
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-1270
Mailing Address - Country:US
Mailing Address - Phone:724-836-0961
Mailing Address - Fax:
Practice Address - Street 1:129 DEPAUL CENTER RD
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-1270
Practice Address - Country:US
Practice Address - Phone:724-836-0961
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-18
Last Update Date:2021-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311500000XNursing & Custodial Care FacilitiesAlzheimer Center (Dementia Center)