# NANTICOKE HOSPITAL COMPANY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Special Care Hospital
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326337528
- **Authorized official:** LAURIE HOLTSFORD (AUTH REP / DIR BUS OFFICE SUPPORT)
- **Authorized official phone:** (615) 465-7488

## Contact information

- **Practice address:** 128 W WASHINGTON ST, NANTICOKE, PA 18634-3113
- **Practice address phone:** (570) 348-7100
- **Practice address fax:** (570) 348-7696
- **Mailing address:** 128 W WASHINGTON ST, NANTICOKE, PA 18634-3113
- **Mailing address phone:** (570) 348-7100
- **Mailing address fax:** (570) 348-7696

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282E00000X | Long Term Care Hospital | — | NULL | Yes |
| 284300000X | Special Hospital | 141401 | PA | — |

## Other

- **Enumeration date:** 03/29/2011
- **Last updated:** 12/09/2011