# SHAFFERS COUNTRYSIDE ASSISTED LIVING

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245403302
- **Authorized official:** MRS. RUTH A SHAFFER RN (ADMINISTRATOR / OWNER)
- **Authorized official phone:** (814) 444-1722

## Contact information

- **Practice address:** 1841 STOYSTOWN RD, FRIEDENS, PA 15541-7409
- **Practice address phone:** (814) 444-1722
- **Practice address fax:** (814) 443-3879
- **Mailing address:** 1841 STOYSTOWN RD, FRIEDENS, PA 15541-7409
- **Mailing address phone:** (814) 444-1722
- **Mailing address fax:** (814) 443-3879

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 321450 | PA | Yes |

## Other

- **Enumeration date:** 04/10/2008
- **Last updated:** 04/10/2008