| NPI | 1023450640 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | PHYLLIS MASTRAMICO RN 724-601-0460 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: PA RN518534L) | 
| Enumeration Date | 2013-07-24 | 
| Last Update Date | 2013-07-24 |