# NORTHUMBERLAND COUNTY MOUNTAIN VIEW MANOR NURSING & REHAB CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mountain View Manor
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447245337
- **Authorized official:** MS. MARY ANN M CHAKLOS NURSING HOME ADMINIS (ADMINISTRATOR)
- **Authorized official phone:** (570) 644-4406

## Contact information

- **Practice address:** 2050 TREVORTON RD, COAL TOWNSHIP, PA 17866-9405
- **Practice address phone:** (570) 644-4400
- **Practice address fax:** (570) 644-4403
- **Mailing address:** 2050 TREVORTON RD, COAL TOWNSHIP, PA 17866-9405
- **Mailing address phone:** (570) 644-4400
- **Mailing address fax:** (570) 644-4403

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 390302 | PA | Yes |
| 332BN1400X | Nursing Facility Supplies (DME) | — | NULL | — |
| 332BP3500X | Parenteral & Enteral Nutrition Supplies (DME) | — | NULL | — |

## Other

- **Enumeration date:** 09/16/2005
- **Last updated:** 04/20/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1007378070003 | — | PA |