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Organization
AL BLOOMSBURG OPERATIONS LLC
Active
Organization
AL BLOOMSBURG OPERATIONS LLC
Active
Other names
Balanced Care Bloomsburg
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM PATRICK MULLOY II (PRESIDENT)
(502) 753-6000
Entity
Organization
Contact information
Practice address
3298 RIDGE RD, BLOOMSBURG, PA 17815-7932
(570) 784-6688
(570) 389-9081
Mailing address
9510 ORMSBY STATION ROAD, SUITE 101 SENIOR CARE INC, LOUISVILLE, KY 40223
(502) 753-6000
(502) 753-6100
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
090002
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016927160003
—
PA
Enumeration date
10/26/2005
Last updated
08/22/2020
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