| NPI | 1376971135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY VONBROOCK Executive Director 570-426-4013 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: PA 485184) |
| Enumeration Date | 2013-10-14 |
| Last Update Date | 2013-10-14 |