| NPI | 1841476538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTY KELLY Administrator 814-868-8227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: PA 123456) |
| Enumeration Date | 2008-01-14 |
| Last Update Date | 2008-04-20 |