NPI | 1790783017 |
---|---|
Doing Business As | HOLY FAMILY RESIDENCE |
Entity Type | Organization |
Authorized Contact | CHARLES PATRICIA MISTRETTA Administrator 570-343-4065 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: PA 860302) |
Enumeration Date | 2005-07-11 |
Last Update Date | 2009-11-13 |