| NPI | 1013916584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS REED Fiscal Services Administrator 814-242-7789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 2865M2000X Military Hospital Military General Acute Care Hospital |
| 3336L0003X Pharmacy Long Term Care Pharmacy | |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2022-05-24 |