1070 Stouffer Avenue Operations LLC

NPI #1780394494 in Chambersburg, Pennsylvania

Provider Information

NPI Number
1780394494
Entity Type
Organization
Organization Name
1070 Stouffer Avenue Operations LLC
Subpart
Yes (part of a larger organization)
Parent Organization
GENESIS PM PA OPERATIONS LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Dec 5, 2022
Last Updated
Nov 22, 2024

Practice Location

Address
1070 STOUFFER AVE
ZIP Code
17201-2938
Phone
(610) 444-6350

Authorized Official

Name
MICHAEL T BERG, JD
Title
ASST SECRETARY
Phone
(505) 468-4742

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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