NPI | 1336149129 |
---|---|
Entity Type | Organization |
Authorized Contact | DONALD S. POTE Executive Director 570-323-8781 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: PA 491902) |
Enumeration Date | 2005-07-22 |
Last Update Date | 2011-11-04 |