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Organization
WILLIAMSPORT SOUTH OPERATIONS LLC
Active
Organization
WILLIAMSPORT SOUTH OPERATIONS LLC
Active
Other names
Williamsport South Rehabilitation and Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB J ZAHLER (AUTHORIZED MEMBER)
(908) 912-2700
Entity
Organization
Contact information
Practice address
101 LEADER DR, WILLIAMSPORT, PA 17701-1942
(570) 323-3758
(570) 323-9228
Mailing address
101 LEADER DR, WILLIAMSPORT, PA 17701-1942
(570) 323-3758
(570) 323-9228
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103891927-0001
—
PA
Enumeration date
03/23/2021
Last updated
12/15/2022
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