Organization
LITTLE FLOWER MANOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MAUREEN B. KENNY MCHALE MBA; MST (CONTROLLER)
(570) 823-6131
Entity
Organization
Contact information
Practice address
200 S MEADE ST, WILKES BARRE, PA 18702-6221
(570) 823-6131
(570) 823-6385
Mailing address
200 S MEADE ST, WILKES BARRE, PA 18702-6221
(570) 823-6131
(570) 823-6385
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007513020001
—
PA
Enumeration date
12/05/2005
Last updated
08/22/2020
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