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Organization
CARBON COUNTY
Active
Organization
CARBON COUNTY
Active
Other names
Carbon County Nursing Home & Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LOUISE BEKISZ NHA (NURSING HOME ADMINISTRATOR)
(570) 427-8683
Entity
Organization
Contact information
Practice address
1000 EVERGREEN AVE, WEATHERLY, PA 18255-1530
(570) 427-8683
(570) 427-4988
Mailing address
1000 EVERGREEN AVE, WEATHERLY, PA 18255-1530
(570) 427-8683
(570) 427-4988
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
030602
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
037720600
FEDERAL BLACK LUNG
—
05
—
1007600550014
—
PA
01
—
CA3326
RAILROAD MEDICARE
—
01
—
HO634394
MEDICARE PART B
—
Enumeration date
06/15/2005
Last updated
10/08/2009
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