477 Holdings L.l.c.
NPI #1972218097 in Stillwater, Pennsylvania
Provider Information
- NPI Number
- 1972218097
- Entity Type
- Organization
- Organization Name
- 477 Holdings L.l.c.
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jan 23, 2023
- Last Updated
- Jan 23, 2023
Practice Location
- Address
- 477 BONNIEVILLE RD.
- City
- Stillwater
- State
- Pennsylvania
- ZIP Code
- 17878
- Phone
- (570) 864-3174
Authorized Official
- Name
- RICHARD SEAN BUCKMAN
- Title
- MEMBER
- Phone
- (954) 616-7215
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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