John Xxiii Home
NPI #1740282144 in Hermitage, Pennsylvania
Provider Information
- NPI Number
- 1740282144
- Entity Type
- Organization
- Organization Name
- John Xxiii Home
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Aug 15, 2005
- Last Updated
- Aug 1, 2012
Practice Location
- Address
- 2250 SHENANGO VALLEY FWY
- City
- Hermitage
- State
- Pennsylvania
- ZIP Code
- 16148-2549
- Phone
- (724) 981-3200
Authorized Official
- Name
- MR. KIRK L HAWTHORNE, NHA
- Title
- ADMINISTRATOR
- Phone
- (724) 981-3200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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