# HENRY CLAY VILLA LP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Henry Clay Villa
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407054489
- **Authorized official:** STEVEN D TACK NHA (CEO)
- **Authorized official phone:** (724) 431-0770

## Contact information

- **Practice address:** 5253 NATIONAL PIKE, MARKLEYSBURG, PA 15459
- **Practice address phone:** (724) 329-5545
- **Practice address fax:** (724) 329-1116
- **Mailing address:** 5253 NATIONAL PIKE, MARKLEYSBURG, PA 15459
- **Mailing address phone:** (724) 329-5545
- **Mailing address fax:** (724) 329-1116

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 060602 | PA | Yes |

## Other

- **Enumeration date:** 07/11/2007
- **Last updated:** 08/14/2014