# GUARDIAN ELDER CARE AT FORKSVILLE LLC

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

## Provider details

- **NPI number:** 1184672685
- **Authorized official:** MICHAEL EPERESI (CFO)
- **Authorized official phone:** (814) 265-1164

## Contact information

- **Practice address:** 5865 ROUTE 154, FORKSVILLE, PA 18616-8912
- **Practice address phone:** (570) 924-3411
- **Mailing address:** 8796 ROUTE 219, BROCKWAY, PA 15824-6010

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 040102 | PA | — |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 05/05/2006
- **Last updated:** 08/25/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 101058803-0001 | — | PA |
