# BUFFALO VALLEY LUTHERAN VILLAGE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033529490
- **Authorized official:** MRS. TRACI LYNN KLINE OTA (OCCUPATIONAL THREAPY ASSISTANT)
- **Authorized official phone:** (570) 523-4226

## Contact information

- **Practice address:** 189 E TRESSLER BLVD, LEWISBURG, PA 17837-9272
- **Practice address phone:** (570) 523-4226
- **Mailing address:** 131 FOREST HILL RD, MIFFLINBURG, PA 17844-7004
- **Mailing address phone:** (570) 412-5064

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | OP006155 | PA | Yes |

## Other

- **Enumeration date:** 05/06/2014
- **Last updated:** 05/06/2014