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Organization
SHIRLEY HOME FOR THE AGED, INC.
Active
Organization
SHIRLEY HOME FOR THE AGED, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BOBBI JO LANDRUM (ADMINISTRATOR)
(814) 447-3781
Entity
Organization
Contact information
Practice address
17050 COUNTRY VIEW LANE, SHIRLEYSBURG, PA 17260-9534
(814) 447-3781
(814) 447-5601
Mailing address
17050 COUNTRY VIEW LANE, SHIRLEYSBURG, PA 17260-9534
(814) 447-3781
(814) 447-5601
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
—
NULL
164W00000X
Licensed Practical Nurse
Primary
—
—
311ZA0620X
Adult Care Home Facility
—
NULL
3747P1801X
Personal Care Attendant
—
NULL
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
11/20/2009
Last updated
03/19/2025
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