NPI | 1801007471 |
---|---|
Entity Type | Organization |
Authorized Contact | THOMAS JOHN MALOSKY Administrator 717-263-1617 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: PA sl005049l) |
Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: PA sl005049l) |
Enumeration Date | 2007-05-25 |
Last Update Date | 2020-08-22 |