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CHERRY LANE MANOR
NPI 1124268990
Assisted Living Facility in Apollo, PA

Active since March 05, 2009
627 SAWYER LN, APOLLO, PA 15613(724) 859-7766 Get Directions Write a Review

NPPES record last updated: March 5, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Frequently Asked Questions
  • Organization
  • Assisted Living Facility

About CHERRY LANE MANOR

This page provides the complete NPI Profile along with additional information for Cherry Lane Manor, a provider established in Apollo, Pennsylvania operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1124268990 assigned on March 2009. The practitioner's primary taxonomy code is 310400000X with license number 426600 (PA). The provider is registered as an organization and their NPI record was last updated 17 years ago. The authorized official of this NPI record is Randy Wofford (Owner-administrator)

NPI
1124268990 Verify this NPI
Provider Name
CHERRY LANE MANOR
Entity Type
Organization
Location Address
627 SAWYER LN APOLLO, PA 15613
Location Phone
(724) 859-7766
Mailing Address
627 SAWYER LN APOLLO, PA 15613
Mailing Phone
(724) 859-7766
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-05-2009
Last Update Date
03-05-2009
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Assisted Living Facility

Taxonomy Code
310400000X
Type
Nursing & Custodial Care Facilities
License No.
426600
License State
PA
Taxonomy Description
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

RANDY WOFFORD

Authorized Official Title
OWNER-ADMINISTRATOR
Authorized Official Phone
(724) 859-7766

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Frequently Asked Questions

What is CHERRY LANE MANOR's NPI number?

The NPI number assigned to this healthcare provider is 1124268990, enumerated as an "organization" on March 05, 2009.

Where is the provider located?

The provider is located at 627 SAWYER LN APOLLO, PA 15613 and the phone number is (724) 859-7766.

What is the provider's specialty?

Assisted Living Facility with taxonomy code 310400000X.