Organization
PENNKNOLL VILLAGE FACILITY OPERATIONS, LLC
Active
Other names
Pennknoll Village
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY WINKLE (MANAGER)
(770) 698-9040
Entity
Organization
Contact information
Practice address
208 PENNKNOLL RD, EVERETT, PA 15537-6940
(814) 623-3200
(814) 623-3202
Mailing address
208 PENNKNOLL RD, EVERETT, PA 15537-6940
(814) 623-3200
(814) 623-3202
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1018134940001
—
PA
Enumeration date
07/31/2006
Last updated
04/19/2025
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