# BROOKLINE AT MIFFLINTOWN INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Brookline Healthcare and Rehabilitation Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043268543
- **Authorized official:** ARMANDO FORTUNATO (CFO)
- **Authorized official phone:** (814) 265-1164

## Contact information

- **Practice address:** 2 MANOR BLVD, MIFFLINTOWN, PA 17059-8757
- **Practice address phone:** (717) 436-2178
- **Mailing address:** 8796 ROUTE 219, BROCKWAY, PA 15824-6010

## Taxonomy

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

## Other

- **Enumeration date:** 05/05/2006
- **Last updated:** 05/18/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001701388-0001 | — | PA |