| NPI | 1629125166 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANNE L MILLER PT Acct Mgr 814-868-8252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: PA 123456) |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2020-08-22 |