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NPI: 1104246222 · Organization · Active

Primary Specialty

Pediatric Skilled Nursing Facility
Skilled Nursing Facility — Nursing Care, Pediatric

Practice Location

14 BASSWOOD DR
MOUNTAIN TOP, PA 18707-1824 Map ↗
Phone: 570-474-0859

All Specialties & Licenses

  • Pediatric Skilled Nursing Facility Primary — Nursing Care, Pediatric (license: RN586725, PA)

NPI Registration

Enumerated: 2014-04-16

Last CMS Update: 2014-04-16