Locust Grove Facility Operations, LLC
NPI #1265448690 in Mifflin, Pennsylvania
Provider Information
- NPI Number
- 1265448690
- Entity Type
- Organization
- Organization Name
- Locust Grove Facility Operations, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jul 31, 2006
- Last Updated
- Sep 13, 2024
Practice Location
- Address
- 69 COTTAGE RD
- City
- Mifflin
- State
- Pennsylvania
- ZIP Code
- 17058-7030
- Phone
- (717) 436-8921
Authorized Official
- Name
- TIM LEHNER
- Title
- MANAGER
- Phone
- (770) 698-9040
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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