# HOME FOR THE AGED OF THE LITTLE SISTERS OF THE POOR

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Holy Family Residence
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790783017
- **Authorized official:** CHARLES PATRICIA MISTRETTA LSP (ADMINISTRATOR)
- **Authorized official phone:** (570) 343-4065

## Contact information

- **Practice address:** 2500 ADAMS AVE, SCRANTON, PA 18509-1515
- **Practice address phone:** (570) 343-4065
- **Practice address fax:** (570) 343-8913
- **Mailing address:** 2500 ADAMS AVE, SCRANTON, PA 18509-1515
- **Mailing address phone:** (570) 343-4065
- **Mailing address fax:** (570) 343-8913

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 860302 | PA | Yes |

## Other

- **Enumeration date:** 07/11/2005
- **Last updated:** 11/13/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0007509960001 | — | PA |