# PENN VILLAGE FACILITY OPERATIONS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Manor at Penn Village
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205841632
- **Authorized official:** TIFFANY HOBACK (MANAGER)
- **Authorized official phone:** (770) 698-9040

## Contact information

- **Practice address:** 51 ROUTE 204, SELINSGROVE, PA 17870-8066
- **Practice address phone:** (570) 374-8181
- **Practice address fax:** (570) 372-2398
- **Mailing address:** 51 ROUTE 204, SELINSGROVE, PA 17870-8066
- **Mailing address phone:** (570) 374-8181
- **Mailing address fax:** (570) 372-2398

## Taxonomy

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

## Other

- **Enumeration date:** 07/31/2006
- **Last updated:** 02/06/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1018122360001 | — | PA |