# COUNTY OF SCHUYLKILL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Schuylkill County Nursing Home - Rest Haven
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154318871
- **Authorized official:** JILL SCHAEFFER RN, BSN, NHA (ADMINISTRATOR)
- **Authorized official phone:** (570) 385-1185

## Contact information

- **Practice address:** 401 UNIVERSITY DR, SCHUYLKILL HAVEN, PA 17972-2212
- **Practice address phone:** (570) 385-0331
- **Practice address fax:** (570) 385-1007
- **Mailing address:** 401 UNIVERSITY DR, SCHUYLKILL HAVEN, PA 17972-2212
- **Mailing address phone:** (570) 385-0331
- **Mailing address fax:** (570) 385-1007

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 701002 | PA | Yes |

## Other

- **Enumeration date:** 09/29/2005
- **Last updated:** 07/02/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1000073180006 | — | PA |