| NPI | 1699031492 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER O'CONNELL Program Manager 570-622-9666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: PA OC011751) |
| Enumeration Date | 2012-04-05 |
| Last Update Date | 2012-04-05 |