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Organization
GUARDIAN ELDER CARE AT NANTICOKE LLC
Active
Organization
GUARDIAN ELDER CARE AT NANTICOKE LLC
Active
Other names
Guardian Healthcare and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL EPERESI (CFO)
(814) 265-1164
Entity
Organization
Contact information
Practice address
147 OLD NEWPORT ST, NANTICOKE, PA 18634-1327
(570) 735-7300
Mailing address
8796 ROUTE 219, BROCKWAY, PA 15824-6010
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
191502
PA
314000000X
Skilled Nursing Facility
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001932115-0001
—
PA
Enumeration date
05/05/2006
Last updated
08/25/2020
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