| NPI | 1174901375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY P FOX Medical Director 814-456-5433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: PA 314000000X) |
| Enumeration Date | 2015-05-08 |
| Last Update Date | 2015-05-08 |