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Organization

THE KEPLER HOME, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. THOMAS F PREGENT NHA (OWNER)
(717) 362-8370
Entity
Organization

Contact information

Practice address
44 S. MARKET ST., ELIZABETHVILLE, PA 17023-0680
(717) 362-8370
(717) 362-1015
Mailing address
PO BOX 680, 44 S. MARKET ST., ELIZABETHVILLE, PA 17023-0680
(717) 362-8370
(717) 362-1015

Taxonomy

Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
111002
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0007573700001
PA
01
111002
NURSING FACILITYPROVIDER
PA
01
39E106
FEDERAL ID NUMBER
PA
Enumeration date
10/31/2005
Last updated
08/22/2020
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