NPI | 1386701118 |
---|---|
Entity Type | Organization |
Authorized Contact | ELLEN CRAVEN Administrator 570-344-6121 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: PA 332302) |
Enumeration Date | 2007-01-02 |
Last Update Date | 2020-08-22 |