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Organization
BOARD OF DIRECTORS OF THE ROUSE ESTATE
Active
Organization
BOARD OF DIRECTORS OF THE ROUSE ESTATE
Active
Other names
The Rouse Estate
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASEN J. DILEY (CEO)
(814) 563-6403
Entity
Organization
Contact information
Practice address
701 ROUSE AVE, YOUNGSVILLE, PA 16371-1605
(814) 563-7565
(814) 563-9049
Mailing address
701 ROUSE AVE, YOUNGSVILLE, PA 16371-1605
(814) 563-7565
(814) 563-9049
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
181702
PA
314000000X
Skilled Nursing Facility
Primary
181702
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0360560001
NSC#
PA
05
—
1001382300004
—
PA
Enumeration date
06/20/2005
Last updated
06/06/2013
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