| Organization Name: | SENIOR LIFE GREENSBURG, INC |
| NPI Number: | 1003166802 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | HERBERT H HENNELL (DIR. OF REIMBURSEMENT) |
| Mailing Address: | 123 Triangle Drive Greensburg |
| State: | PA US |
| Postal Code: | 156013510 |
| Phone Number: | 7248388300 |
| Fax Number: | |
| NPI Enumeration Date: | 09/19/2012 |
| NPI Last Update Date: | 06/13/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA0600X |
| License Number: | 075064 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Adult Day Care |
| Taxonomy Definition: | |