# GROVE MANOR CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Grove Manor Corporation
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265504369
- **Authorized official:** PAULA KAY NOTARFRANCISCO (CEO)
- **Authorized official phone:** (856) 266-2852

## Contact information

- **Practice address:** 435 N BROAD ST, GROVE CITY, PA 16127-1711
- **Practice address phone:** (724) 958-7800
- **Practice address fax:** (724) 458-6122
- **Mailing address:** 435 N BROAD ST, GROVE CITY, PA 16127-1711
- **Mailing address phone:** (856) 266-2852
- **Mailing address fax:** (414) 908-7105

## Taxonomy

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

## Other

- **Enumeration date:** 11/14/2006
- **Last updated:** 07/26/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100750943 | — | PA |
