| NPI | 1104246222 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE JANE WEIGAND RN 570-474-0859 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric (Licence: PA RN586725) |
| Enumeration Date | 2014-04-16 |
| Last Update Date | 2014-04-16 |