Organization
MULBERRY HEALTHCARE OPERATING LLC
Active
Other names
Bonamour
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE ZIDELE (CFO)
(716) 374-2526
Entity
Organization
Contact information
Practice address
411 W MAHONING ST, PUNXSUTAWNEY, PA 15767-1907
(814) 938-6020
Mailing address
411 W. MAHONING STREET, PUNXSUTAWNEY, PA 15767-0000
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
06/14/2022
Last updated
07/31/2024
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