Organization
BUFFALO VALLEY LUTHERAN VILLAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRACI LYNN KLINE OTA (OCCUPATIONAL THREAPY ASSISTANT)
(570) 523-4226
Entity
Organization
Contact information
Practice address
189 E TRESSLER BLVD, LEWISBURG, PA 17837-9272
(570) 523-4226
Mailing address
131 FOREST HILL RD, MIFFLINBURG, PA 17844-7004
(570) 412-5064
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
OP006155
PA
Other
Enumeration date
05/06/2014
Last updated
05/06/2014
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