| NPI | 1447245337 |
|---|---|
| Other Name | MOUNTAIN VIEW MANOR |
| Entity Type | Organization |
| Authorized Contact | MARY ANN M CHAKLOS Administrator 570-644-4406 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: PA 390302) |
| Additional Taxonomies | 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | |
| Enumeration Date | 2005-09-16 |
| Last Update Date | 2010-04-20 |