# SAYRE HEALTH CARE CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sayre Health Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033115514
- **Authorized official:** MR. MICHAEL P KELLY (MEMBER)
- **Authorized official phone:** (570) 969-2188

## Contact information

- **Practice address:** 1001 N ELMER AVE, SAYRE, PA 18840-1832
- **Practice address phone:** (570) 888-2192
- **Practice address fax:** (570) 888-7902
- **Mailing address:** 401 MOLTKE AVE, SCRANTON, PA 18505-2886
- **Mailing address phone:** (570) 969-2188

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 192102 | PA | Yes |

## Other

- **Enumeration date:** 06/21/2005
- **Last updated:** 11/02/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0007572260001 | — | PA |
| 01 | — | 231643404 | COMMERCIAL INSURANCE | — |