Lackawanna County Employees
Skilled Nursing Facility in Olyphant, PA. Organization (NPI-2).
NPI number1477549855
StatusActive
Last updated in NPPESJun 25, 2008
Details
- NPI
- 1477549855
- Entity type
- Organization (NPI-2)
- Legal business name
- Lackawanna County Employees
- Organization subpart
- No
- Enumeration date
- Sep 21, 2005
- Last updated
- Jun 25, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | 134902 | PA | Yes |
Other names
- Lackawanna County Health Care Center (Doing Business As)
Practice location
Sturges RoadOlyphant, PA 18447
Phone 570-489-8611 · Fax 570-489-5349
Mailing address
Sturges RoadOlyphant, PA 18447
Phone 570-489-8611 · Fax 570-489-5349
Authorized official
James Miller
Administrator
5704898611
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