| NPI | 1013074269 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL KELLY Managing Member 570-341-6676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: PA 17720201) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2020-08-22 |