NPI | 1053779561 |
---|---|
Entity Type | Organization |
Authorized Contact | SUZANNE TOLERICO Billing Manager 570-963-1275 |
Organization Subpart ? | No |
Primary Taxonomy | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric (Licence: PA 23864001) |
Enumeration Date | 2016-01-29 |
Last Update Date | 2016-01-29 |