Locust Grove Facility Operations

NPI 1265448690 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1265448690
Enumeration Date 07/31/2006
Last Updated 12/03/2014
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name JOSEPH JOSEPH
Position CHIEF EXECUTIVE OFFICER
Phone (717) 436-8921
Fax (717) 436-9165
Practice Location
69 COTTAGE RD
MIFFLIN PA, 17058-7030, US
Phone (717) 436-8921
Fax (717) 436-9165
Business Location
800 CONCOURSE PKWY S
SUITE 200
MAITLAND FL, 32751-6148, US
Phone (407) 571-1550
Fax (407) 571-1599
Toxanomy
Taxonomy Code 314000000X
License State
License Number
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According to our database, Locust Grove Facility Operations NPI is 1265448690, taxonomy code is 314000000X Locust Grove Facility Operations physically located at 69 Cottage Rd, Mifflin PA, 17058-7030. NPI Number 1033115704 has the healthcare provider type.

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1265448690 NPI number is provided on an as is basis without warranty of any kind. 1265448690 is maintained by the National Plan & Provider Enumeration System. The contents of Locust Grove Facility Operations are for informational purposes only.