Organization
GRANDVIEW HEALTH HOMES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERRY E BOONE OWNER (PRESIDENT)
(570) 275-5240
Entity
Organization
Contact information
Practice address
49 WOODBINE LN, DANVILLE, PA 17821-8022
(570) 275-5240
(570) 275-3104
Mailing address
49 WOODBINE LN, DANVILLE, PA 17821-8022
(570) 275-5240
(570) 275-3104
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
591602
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00755375
—
PA
01
—
591602
STATE LICENSE
PA
Enumeration date
07/01/2005
Last updated
08/22/2020
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