# PLEASANT VALLEY MANOR, INC.

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

## Provider details

- **NPI number:** 1922164466
- **Authorized official:** CATHERINE M. POPPITI (DIRECTOR OF FINANCE)
- **Authorized official phone:** (570) 992-4172

## Contact information

- **Practice address:** 4227 MANOR DR, STROUDSBURG, PA 18360-9451
- **Practice address phone:** (570) 992-4172
- **Practice address fax:** (570) 992-0324
- **Mailing address:** 4227 MANOR DR, STROUDSBURG, PA 18360-9451
- **Mailing address phone:** (570) 992-4172
- **Mailing address fax:** (570) 992-0324

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 161702 | PA | Yes |

## Other

- **Enumeration date:** 12/29/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0008619590002 | — | PA |