# LOYALSOCK CREEK SNF LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Loyalsock Creek Rehabilitation and Nursing Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912315649
- **Authorized official:** MOSHE SCHEINER (MEMBER)
- **Authorized official phone:** (845) 490-6060

## Contact information

- **Practice address:** 1445 SYCAMORE RD, MONTOURSVILLE, PA 17754-9519
- **Practice address phone:** (570) 601-8100
- **Mailing address:** 1445 SYCAMORE RD, MONTOURSVILLE, PA 17754-9519
- **Mailing address phone:** (570) 601-8100

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | PA | Yes |
| 332BN1400X | Nursing Facility Supplies (DME) | — | NULL | — |

## Other

- **Enumeration date:** 07/25/2014
- **Last updated:** 07/25/2014