# PERRY VILLAGE FACILITY OPERATIONS, LLC

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

## Provider details

- **NPI number:** 1255345302
- **Authorized official:** SUZETTE C. BRANDT (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (717) 582-4346

## Contact information

- **Practice address:** 213 E MAIN ST, NEW BLOOMFIELD, PA 17068-9657
- **Practice address phone:** (717) 582-4346
- **Practice address fax:** (717) 582-8447
- **Mailing address:** 213 E MAIN ST, NEW BLOOMFIELD, PA 17068-9657
- **Mailing address phone:** (717) 582-4346
- **Mailing address fax:** (717) 582-8447

## Taxonomy

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

## Other

- **Enumeration date:** 07/27/2006
- **Last updated:** 02/08/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1018123700001 | — | PA |