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Organization
LACKAWANNA HEALTH CARE CENTER LLC
Active
Organization
LACKAWANNA HEALTH CARE CENTER LLC
Active
Other names
Lackawanna Health and Rehab Center
Organization subpart
No
Provider details
NPI number
Authorized official
ELI STROHLI (PRESIDENT)
(305) 864-9191
Entity
Organization
Contact information
Practice address
108 TERRACE DR, OLYPHANT, PA 18447-2503
(570) 489-8611
Mailing address
108 TERRACE DR, OLYPHANT, PA 18447-2503
(570) 489-8611
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39-5414
MEDICARE
PA
Enumeration date
02/16/2010
Last updated
02/16/2010
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