# LACKAWANNA ACQUISITION I, LLC

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

## Provider details

- **NPI number:** 1730468620
- **Authorized official:** MR. ZEV FARKAS (CEO)
- **Authorized official phone:** (718) 971-5500

## Contact information

- **Practice address:** 108 TERRACE DR, OLYPHANT, PA 18447-2503
- **Practice address phone:** (570) 489-8611
- **Mailing address:** 100 CHAPIN AVE, RED BANK, NJ 07701-1418

## Taxonomy

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

## Other

- **Enumeration date:** 08/09/2011
- **Last updated:** 08/09/2011
