# BOARD OF DIRECTORS OF THE ROUSE ESTATE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Rouse Estate
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578568135
- **Authorized official:** MR. JASEN J. DILEY (CEO)
- **Authorized official phone:** (814) 563-6403

## Contact information

- **Practice address:** 701 ROUSE AVE, YOUNGSVILLE, PA 16371-1605
- **Practice address phone:** (814) 563-7565
- **Practice address fax:** (814) 563-9049
- **Mailing address:** 701 ROUSE AVE, YOUNGSVILLE, PA 16371-1605
- **Mailing address phone:** (814) 563-7565
- **Mailing address fax:** (814) 563-9049

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | 181702 | PA | — |
| 314000000X | Skilled Nursing Facility | 181702 | PA | Yes |

## Other

- **Enumeration date:** 06/20/2005
- **Last updated:** 06/06/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0360560001 | NSC\# | PA |
| 05 | — | 1001382300004 | — | PA |