# JUNIPER VILLAGE AT STATE COLLEGE OPERATIONS II LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Juniper Village at Brookline-Rehabilitation and Skilled Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740280890
- **Authorized official:** MS. LINDA C DONATO (VP OF MEMBER, JUNIPER PARTNERS LLC)
- **Authorized official phone:** (973) 661-8300

## Contact information

- **Practice address:** 1950 CLIFFSIDE DR, STATE COLLEGE, PA 16801-7662
- **Practice address phone:** (814) 235-2074
- **Practice address fax:** (814) 235-2074
- **Mailing address:** 400 BROADACRES DR, BLOOMFIELD, NJ 07003-3156
- **Mailing address phone:** (973) 661-8300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 281302 | PA | Yes |

## Other

- **Enumeration date:** 07/29/2005
- **Last updated:** 09/11/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1461 | BLUE SHIELD | PA |
| 01 | — | 232431939 | MEDICARE SUPPLEMENTS | PA |
| 01 | — | 395756 | GEISINGER | PA |