NPI | 1760483440 |
---|---|
Doing Business As | DAVIS MANOR |
Entity Type | Organization |
Authorized Contact | CHARLENE DAVIS CEO 570-474-6377 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: PA 040802) |
Enumeration Date | 2005-08-03 |
Last Update Date | 2020-08-22 |