| NPI | 1861509267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK G SISK CFO 814-938-1882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 275N00000X Medicare Defined Swing Bed Unit (Licence: PA 163701) |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2008-05-21 |