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Pediatric Skilled Nursing Facility in Mountain Top, Pennsylvania
NPI 1104246222

1 is a Pediatric Skilled Nursing Facility based in Mountain Top, PA and is specialized in Nursing Care, Pediatric. 1 practices in Mountain Top, PA. The NPI Number for 1 is 1104246222 and holds a License No. RN586725 (Pennsylvania).

The current practice location address for 1 is 14 Basswood Dr, Mountain Top, PA and can be reached out via phone at 570-474-0859.

Location: 14 Basswood Dr, Mountain Top, PA, 18707-1824
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1104246222
Provider Name
1
Credential
Provider Entity Type
Organization
Address
14 Basswood Dr, Mountain Top, PA, 18707-1824
Phone Number
570-474-0859
Fax Number
Provider Enumeration Date
04/16/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
14 Basswood Dr
City
Mountain Top
State
Pennsylvania
Zip
18707-1824
Phone Number
570-474-0859
Fax Number
person
Provider Business Mailing Address Details
Address
14 Basswood Dr
City
Mountain Top
State
Pennsylvania
Zip
18707-1824
Phone Number
570-474-0859
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Skilled Nursing Facility
Speciality
Nursing Care, Pediatric
Taxonomy
3140N1450X
License No.
RN586725 (Pennsylvania)
Definition
A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment.
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