# GUARDIAN ELDER CARE AT KINGSTON LLC

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

## Provider details

- **NPI number:** 1194200873
- **Authorized official:** MICHAEL EPERESI (CFO)
- **Authorized official phone:** (814) 265-1164

## Contact information

- **Practice address:** 615 WYOMING AVE, KINGSTON, PA 18704-3703
- **Practice address phone:** (570) 288-5496
- **Mailing address:** 8796 ROUTE 219, BROCKWAY, PA 15824-6010

## Taxonomy

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

## Other

- **Enumeration date:** 09/28/2018
- **Last updated:** 08/25/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 103569572-0001 | — | PA |