# MEADVILLE REHABILITATION & NURSING CENTER, LLC

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

## Provider details

- **NPI number:** 1730415670
- **Authorized official:** NATHAN STERN (AUTHORIZED MEMBER)
- **Authorized official phone:** (732) 942-1344

## Contact information

- **Practice address:** 14714 PARK AVENUE EXT, MEADVILLE, PA 16335-9400
- **Practice address phone:** (814) 337-4228
- **Mailing address:** 4597 ROUTE 9 N, HOWELL, NJ 07731-3382

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 131702 | PA | Yes |
| 332BN1400X | Nursing Facility Supplies (DME) | — | NULL | — |

## Other

- **Enumeration date:** 10/28/2009
- **Last updated:** 11/08/2013