| NPI | 1053029124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN R WELKOM Vice President Healthcare Operation 570-594-1432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2022-11-08 |
| Last Update Date | 2024-08-30 |