| NPI | 1093701047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY DAILEY Accountant 570-923-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: PA 549602) |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: PA 549602) |
| Enumeration Date | 2005-09-26 |
| Last Update Date | 2023-03-17 |