1
NPI #1104246222 in Mountain Top, Pennsylvania
Provider Information
- NPI Number
- 1104246222
- Entity Type
- Organization
- Organization Name
- 1
- Primary Specialty
- Skilled Nursing Facility - Nursing Care, Pediatric
- Enumeration Date
- Apr 16, 2014
- Last Updated
- Apr 16, 2014
Practice Location
- Address
- 14 BASSWOOD DR
- City
- Mountain Top
- State
- Pennsylvania
- ZIP Code
- 18707-1824
- Phone
- (570) 474-0859
Authorized Official
- Name
- VALERIE JANE WEIGAND
- Title
- RN
- Phone
- (570) 474-0859
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility - Nursing Care, Pediatric — Nursing Care, Pediatric |
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