Organization
CCP
Active
Other names
Anointed Hands
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARMEN M PACK NURSE (ADMIN)
(724) 337-3591
Entity
Organization
Contact information
Practice address
410 9TH ST, NEW KENSINGTON, PA 15068-6406
(724) 337-3591
(724) 337-3592
Mailing address
410 9TH ST, NEW KENSINGTON, PA 15068-6406
(724) 337-3591
(724) 337-3592
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
P-N093516-L
PA
Other
Enumeration date
09/18/2008
Last updated
09/18/2008
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