# ST. LUKE'S VILLA

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

## Provider details

- **NPI number:** 1063702074
- **Authorized official:** MS. MAUREEN B.KENNY MCHALE MBA MST (DIRECTOR OF FINANCE)
- **Authorized official phone:** (570) 823-6131

## Contact information

- **Practice address:** 80 E NORTHAMPTON ST, WILKES BARRE, PA 18701-3035
- **Practice address phone:** (570) 830-3905
- **Practice address fax:** (570) 826-5053
- **Mailing address:** 200 S MEADE ST, WILKES BARRE, PA 18702-6221
- **Mailing address phone:** (570) 823-6131
- **Mailing address fax:** (570) 823-5171

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 600602 | PA | Yes |

## Other

- **Enumeration date:** 04/11/2011
- **Last updated:** 04/11/2011