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Organization
GUARDIAN ELDER CARE AT SHIPPENVILLE LLC
Active
Organization
GUARDIAN ELDER CARE AT SHIPPENVILLE LLC
Active
Other names
Shippenville Healthcare and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
ARMANDO FORTUNATO (CFO)
(814) 265-1164
Entity
Organization
Contact information
Practice address
21158 PAINT BLVD, SHIPPENVILLE, PA 16254-4024
(814) 226-5660
Mailing address
8796 ROUTE 219, BROCKWAY, PA 15824-6010
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103170606-0001
—
PA
Enumeration date
07/28/2016
Last updated
05/18/2023
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