Organization
ST. LUKE'S VILLA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MAUREEN B.KENNY MCHALE MBA MST (DIRECTOR OF FINANCE)
(570) 823-6131
Entity
Organization
Contact information
Practice address
80 E NORTHAMPTON ST, WILKES BARRE, PA 18701-3035
(570) 830-3905
(570) 826-5053
Mailing address
200 S MEADE ST, WILKES BARRE, PA 18702-6221
(570) 823-6131
(570) 823-5171
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
600602
PA
Other
Enumeration date
04/11/2011
Last updated
04/11/2011
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