Organization · NPI-2
Mountain Top Rehabilitation And Healthcare LLC
Skilled Nursing Facility · Mountain Top, PA
NPI number1912612508
StatusActive
Last updated in NPPESJan 18, 2023
Details
- NPI
- 1912612508
- Entity type
- Organization (NPI-2)
- Legal business name
- Mountain Top Rehabilitation And Healthcare LLC
- Organization subpart
- No
- Enumeration date
- Jan 18, 2023
- Certification date
- Jan 18, 2023
- Last updated
- Jan 18, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | – | – | Yes |
Practice location
185 S Mountain BlvdMountain Top, PA 18707-1921
Phone 570-474-6377
Mailing address
575 Route 70 Fl 2Brick, NJ 08723-4042
Authorized official
Shai Berdugo
Authorized Official
5704746377
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