# NORTHERN HEALTH FACILITIES, INC.

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

## Provider details

- **NPI number:** 1578516423
- **Authorized official:** MS. DONNA MAASSEN (PRIVACY OFFICER)
- **Authorized official phone:** (414) 908-8119

## Contact information

- **Practice address:** 1000 W 27TH ST, HAZLETON, PA 18202-9604
- **Practice address phone:** (570) 454-8888
- **Practice address fax:** (570) 454-4190
- **Mailing address:** 111 W MICHIGAN ST, MILWAUKEE, WI 53203-2903
- **Mailing address phone:** (414) 908-8119
- **Mailing address fax:** (414) 908-7105

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 05/19/2006
- **Last updated:** 04/09/2008