| NPI | 1851398341 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT SPLENDIDO A VP Patient Finical Services 570-341-4699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: PA 011902) |
| Additional Taxonomies | 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2022-07-21 |