# KINKORA PYTHIAN HOME

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

## Provider details

- **NPI number:** 1821096801
- **Authorized official:** MR. MITCH A. HIMMELBERGER NHA, MSW,BA (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (717) 834-4887

## Contact information

- **Practice address:** 25 COVE RD, DUNCANNON, PA 17020-9514
- **Practice address phone:** (717) 834-4887
- **Practice address fax:** (717) 834-6622
- **Mailing address:** 25 COVE RD, DUNCANNON, PA 17020-9514
- **Mailing address phone:** (717) 834-4887
- **Mailing address fax:** (717) 834-6622

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 110902 | PA | Yes |

## Other

- **Enumeration date:** 07/13/2005
- **Last updated:** 09/30/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0007575300001 | — | PA |