LA
LECOM AT VILLAGE SQUARE, LLC
Skilled Nursing Facility
OIG CLEARNPI VERIFIED
Location
ERIE, PA
Licensed since
2019
Rate
—
Federal compliance record
Total fines$14,971
Payment denials / penalties3
Abuse flagNone on record
Federal identifiers
NPI registry number1689231029
CMS Certification Number (CCN)395672
Agency details
Avg residents / day100.3
OwnershipNon profit - Corporation
Chain affiliationLECOM SENIOR LIVING
Medicare activity
StatusNo Medicare utilization on file — neutral.
Authorized official
NameJAIME BABIAK
TitleDIRECTOR OF LTC OPERATIONS
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