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Organization
BONETTI HEALTH CARE CENTER, INC
Active
Organization
BONETTI HEALTH CARE CENTER, INC
Active
Other names
Autumn Grove Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW R MAURANO NHA (PRESIDENT)
(724) 735-4224
Entity
Organization
Contact information
Practice address
555 S MAIN ST, HARRISVILLE, PA 16038-1623
(724) 735-4224
(724) 735-0103
Mailing address
555 S MAIN ST, HARRISVILLE, PA 16038-1623
(724) 735-4224
(724) 735-0103
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
022102
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007573330003
—
PA
01
—
0569
BLUE CROSS
—
Enumeration date
08/18/2005
Last updated
10/25/2011
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