Organization
SAYRE HEALTH CARE CENTER LLC
Active
Other names
Sayre Health Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL P KELLY (MEMBER)
(570) 969-2188
Entity
Organization
Contact information
Practice address
1001 N ELMER AVE, SAYRE, PA 18840-1832
(570) 888-2192
(570) 888-7902
Mailing address
401 MOLTKE AVE, SCRANTON, PA 18505-2886
(570) 969-2188
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
192102
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007572260001
—
PA
01
—
231643404
COMMERCIAL INSURANCE
—
Enumeration date
06/21/2005
Last updated
11/02/2011
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