# AL BLOOMSBURG OPERATIONS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Balanced Care Bloomsburg
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861482283
- **Authorized official:** WILLIAM PATRICK MULLOY II (PRESIDENT)
- **Authorized official phone:** (502) 753-6000

## Contact information

- **Practice address:** 3298 RIDGE RD, BLOOMSBURG, PA 17815-7932
- **Practice address phone:** (570) 784-6688
- **Practice address fax:** (570) 389-9081
- **Mailing address:** 9510 ORMSBY STATION ROAD, SUITE 101 SENIOR CARE INC, LOUISVILLE, KY 40223
- **Mailing address phone:** (502) 753-6000
- **Mailing address fax:** (502) 753-6100

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 090002 | PA | Yes |

## Other

- **Enumeration date:** 10/26/2005
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0016927160003 | — | PA |