# LOYALSOCK OPERATING LLC

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

## Provider details

- **NPI number:** 1912629296
- **Authorized official:** GEDALIAH WIELGUS (AUTHORIZED OFFICAIL)
- **Authorized official phone:** (570) 601-8100

## Contact information

- **Practice address:** 1445 SYCAMORE RD, MONTOURSVILLE, PA 17754-9519
- **Practice address phone:** (570) 601-8100
- **Mailing address:** 395 PEARSALL AVE STE K, CEDARHURST, NY 11516-1828

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 09/14/2022
- **Last updated:** 11/21/2022