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Stephen Rodrigues, PRESIDENT/CEO
Assisted Living Facility in Nanty Glo, Pennsylvania
NPI 1184396137

Stephen Rodrigues is an Assisted Living Facility based in Nanty Glo, PA. Stephen Rodrigues practices in Nanty Glo, PA and has the professional credentials of PRESIDENT/CEO. The NPI Number for Stephen Rodrigues is 1184396137 and holds a License No. (Pennsylvania).

The current practice location address for Stephen Rodrigues is 1075 Chestnut St, Nanty Glo, PA and can be reached out via phone at 814-749-8799 and via fax at 814-749-8799.

Location: 1075 Chestnut St, Nanty Glo, PA, 15943-1209
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184396137
Provider Name
Stephen Rodrigues
Credential
PRESIDENT/CEO
Provider Entity Type
Individual
Gender
Male
Address
1075 Chestnut St, Nanty Glo, PA, 15943-1209
Phone Number
814-749-8799
Fax Number
814-749-8799
Provider Enumeration Date
09/29/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
327360 01 PA LICENSE
327360 01 PA DEPARTMENT OF HEALTH PA
institution
Provider Business Practice Location Address Details
Address
1075 Chestnut St
City
Nanty Glo
State
Pennsylvania
Zip
15943-1209
Phone Number
814-749-8799
Fax Number
814-749-8799
person
Provider Business Mailing Address Details
Address
1075 Chestnut St
City
Nanty Glo
State
Pennsylvania
Zip
15943-1209
Phone Number
814-749-8799
Fax Number
814-749-8799
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
()
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
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