# PENNSYLVANIA LTC INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Linwood Nursing and Rehabilitation Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437128139
- **Authorized official:** JANE DROPESKEY (CORPORATE MANAGER)
- **Authorized official phone:** (610) 925-4231

## Contact information

- **Practice address:** 100 LYNWOOD AVE, SCRANTON, PA 18505-2868
- **Practice address phone:** (570) 346-7381
- **Practice address fax:** (570) 346-3761
- **Mailing address:** 100 LINWOOD AVE, SCRANTON, PA 18505-2868
- **Mailing address phone:** (570) 346-7381
- **Mailing address fax:** (570) 346-3761

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 394502 | PA | Yes |
| 332BN1400X | Nursing Facility Supplies (DME) | 394502 | PA | — |
| 332BP3500X | Parenteral & Enteral Nutrition Supplies (DME) | 394502 | PA | — |

## Other

- **Enumeration date:** 03/15/2006
- **Last updated:** 03/17/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1007653650006 | — | PA |