Loyalsock Operating LLC
NPI #1912629296 in Montoursville, Pennsylvania
Provider Information
- NPI Number
- 1912629296
- Entity Type
- Organization
- Organization Name
- Loyalsock Operating LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Sep 14, 2022
- Last Updated
- Nov 21, 2022
Practice Location
- Address
- 1445 SYCAMORE RD
- City
- Montoursville
- State
- Pennsylvania
- ZIP Code
- 17754-9519
- Phone
- (570) 601-8100
Authorized Official
- Name
- GEDALIAH WIELGUS
- Title
- AUTHORIZED OFFICAIL
- Phone
- (570) 601-8100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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