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Life-Northwestern Pennsylvania — NPI 1891980355, Erie, PA | NPI Central

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NPI 1891980355

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Life-Northwestern Pennsylvania

NPI 1891980355 · PACE Provider Organization · Erie, PA

Provider details

NPI number: 1891980355
Entity type: Organization
Primary specialty: PACE Provider OrganizationAgencies
Organization subpart: No
Authorized official: Mark Gusek, Ceo(814) 456-5433

Specialties & taxonomies

PACE Provider OrganizationPrimary251T00000X
Agencies

Practice location

149 W 22nd St

Erie, PA 16502-2804

Phone: (814) 452-3271

Fax: (814) 456-9232

Approximate (ZIP-level) locationGet directions

More PA providers

Mailing address

100 State St Ste 200

Erie, PA 16507-1454

Other names (DBA / former)

Other name: Lutheran Home for the Aged
Other name: Lutheran Home for the Aged

Registry dates

Enumerated: 2007-09-07
Last updated: 2020-11-16
Certified: 2020-11-16

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.