# THE VILLA ASSISTED LIVING, LLC

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

## Provider details

- **NPI number:** 1669776563
- **Authorized official:** DR. RICHARD M KASTELIC M.D. (MEMBER/OWNER)
- **Authorized official phone:** (814) 254-4514

## Contact information

- **Practice address:** 322 WARREN ST, SUITE 300, JOHNSTOWN, PA 15905-3443
- **Practice address phone:** (814) 288-1418
- **Practice address fax:** (814) 288-1525
- **Mailing address:** 429 NAPOLEON PL, JOHNSTOWN, PA 15901-2504
- **Mailing address phone:** (814) 254-4514
- **Mailing address fax:** (814) 254-4541

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | 328361 | PA | Yes |

## Other

- **Enumeration date:** 01/06/2011
- **Last updated:** 01/06/2011