NPI | 1497750053 |
---|---|
Entity Type | Organization |
Authorized Contact | SR. JOACHIM ANNE FERENCHAK, O. CARM. Administrator 814-695-5571 |
Organization Subpart ? | No |
Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: PA 070202) |
Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: PA 070202) |
311ZA0620X Custodial Care Facility, Adult Care Home (Licence: PA 316410) | |
Enumeration Date | 2005-06-20 |
Last Update Date | 2014-03-18 |