| NPI | 1972046068 |
|---|---|
| Doing Business As | PENNSYLVANIA NURSING AND REHABILITATION CENTER |
| Entity Type | Organization |
| Authorized Contact | JACK COOK Member 254-741-5929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2016-11-22 |
| Last Update Date | 2016-11-22 |