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Organization
BIRCHWOOD NURSING & REHAB CTR
Active
Organization
BIRCHWOOD NURSING & REHAB CTR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAM KRAVETZ (C.F.O.)
(732) 942-1344
Entity
Organization
Contact information
Practice address
395 E MIDDLE RD, NANTICOKE, PA 18634-3806
(570) 735-2973
(570) 735-8420
Mailing address
395 E MIDDLE ROAD, NANTICOKE, PA 18634-3806
(570) 735-2973
(570) 735-8420
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
026402
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009420910001
—
PA
Enumeration date
06/30/2005
Last updated
01/30/2008
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