# VALLEY CREST NURSING , L.P.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Valley Crest Nursing and Rehabilitation Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194798652
- **Authorized official:** MR. PETER J LICARI (PRESIDENT OF GENERAL PARTNER)
- **Authorized official phone:** (215) 441-7700

## Contact information

- **Practice address:** 1551 EAST END BLVD. PLAINS TWP., WILKES BARRE, PA 18711-0575
- **Practice address phone:** (570) 826-1011
- **Mailing address:** 120 GIBRALTAR ROAD, SUITE 310, HORSHAM, PA 19044-2350
- **Mailing address phone:** (215) 441-7700
- **Mailing address fax:** (215) 441-4255

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 220102 | PA | Yes |

## Other

- **Enumeration date:** 02/07/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1014868460001 | — | PA |