| NPI | 1235137472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL K SANDHAUS Executive Director 570-344-6177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: PA 360402) |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: PA 360402) |
| 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies (Licence: PA 360402) | |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2008-04-22 |