Pavilion at St. Luke Village Facility Operations, LLC
NPI #1437163292 in Hazleton, Pennsylvania
Provider Information
- NPI Number
- 1437163292
- Entity Type
- Organization
- Organization Name
- Pavilion at St. Luke Village Facility Operations, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jul 28, 2006
- Last Updated
- Sep 13, 2024
Practice Location
- Address
- 1000 STACIE DR
- City
- Hazleton
- State
- Pennsylvania
- ZIP Code
- 18201-5690
- Phone
- (570) 453-5100
Authorized Official
- Name
- TIM LEHNER
- Title
- MANAGER
- Phone
- (770) 698-9040
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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