| NPI | 1609873959 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL S SHENDOCK Assistant VP 570-348-1314 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: PA 200250) |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| Enumeration Date | 2005-07-01 |
| Last Update Date | 2019-06-18 |