Organization
1
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALERIE JANE WEIGAND (RN)
(570) 474-0859
Entity
Organization
Contact information
Practice address
14 BASSWOOD DR, MOUNTAIN TOP, PA 18707-1824
(570) 474-0859
Mailing address
14 BASSWOOD DR, MOUNTAIN TOP, PA 18707-1824
(570) 474-0859
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
RN586725
PA
Other
Enumeration date
04/16/2014
Last updated
04/16/2014
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