| NPI | 1215933601 |
|---|---|
| Doing Business As | NORMANDIE RIDGE |
| Entity Type | Organization |
| Authorized Contact | SHAUN T SMITH CEO/President 570-522-3889 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: PA 250902) |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2019-03-29 |