| NPI | 1669463949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES MILLER Administrator 570-826-1011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: PA 220102) |
| Enumeration Date | 2005-11-04 |
| Last Update Date | 2020-08-22 |