| NPI | 1275649634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY JOHN REEVES Administrator 814-255-5539 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: PA 680102) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2011-08-08 |