# DUNMORE HEALTH CARE CENTER

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

## Provider details

- **NPI number:** 1639151145
- **Authorized official:** ELLEN CRAVEN NHA (ADMINISTRATOR)
- **Authorized official phone:** (570) 342-7624

## Contact information

- **Practice address:** 1000 MILL ST, DUNMORE, PA 18512-3069
- **Practice address phone:** (570) 342-7624
- **Practice address fax:** (570) 342-5476
- **Mailing address:** 1000 MILL ST, DUNMORE, PA 18512-3069
- **Mailing address phone:** (570) 342-7624
- **Mailing address fax:** (570) 342-5476

## Taxonomy

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

## Other

- **Enumeration date:** 11/18/2005
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0018138490002 | — | PA |
