# JULIA RIBAUDO SENIOR SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Brighten at Julia Ribaudo
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336142652
- **Authorized official:** MR. MICHAEL J. CALLAN (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (610) 527-4277

## Contact information

- **Practice address:** 1404 GOLF PARK DR, LAKE ARIEL, PA 18436-4252
- **Practice address phone:** (570) 698-5647
- **Practice address fax:** (570) 698-7742
- **Mailing address:** 956 E RAILROAD AVE, BRYN MAWR, PA 19010-3831
- **Mailing address phone:** (610) 525-8412
- **Mailing address fax:** (610) 525-1371

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 101802 | PA | Yes |

## Other

- **Enumeration date:** 05/31/2005
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1009802000001 | — | PA |