# MANOR AT SUSQUEHANNA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629317219
- **Authorized official:** MS. DEBORAH D. TROUTMAN PTA (PHYSICAL THERAPIST ASSISTANT)
- **Authorized official phone:** (717) 692-5209

## Contact information

- **Practice address:** 990 MEDICAL RD, MILLERSBURG, PA 17061-1235
- **Practice address phone:** (717) 692-5209
- **Mailing address:** 6003 SOMMERTON DR, MECHANICSBURG, PA 17050-7374
- **Mailing address phone:** (717) 612-1980

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | TE1000673 | PA | Yes |

## Other

- **Enumeration date:** 02/03/2013
- **Last updated:** 02/03/2013