# ELLEN MEMORIAL, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ellen Memorial Health Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942763297
- **Authorized official:** MR. JAMES MILLER NHA (ADMINISTRATOR)
- **Authorized official phone:** (570) 947-7043

## Contact information

- **Practice address:** 23 ELLEN MEMORIAL LN, HONESDALE, PA 18431-4096
- **Practice address phone:** (570) 253-5690
- **Mailing address:** 23 ELLEN MEMORIAL LN, HONESDALE, PA 18431-4096
- **Mailing address phone:** (570) 253-5690

## Taxonomy

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

## Other

- **Enumeration date:** 04/12/2019
- **Last updated:** 06/04/2024