| NPI | 1013914589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW B DURAKO Executive Director 570-826-1031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: PA 600602) |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2007-07-13 |