Organization
MID VALLEY OPERATIONS LLC
Active
Other names
Elmcroft of Mid Valley
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROBIN L BARBER (VP & SECRETARY)
(502) 753-6004
Entity
Organization
Contact information
Practice address
89 STURGES RD, PECKVILLE, PA 18452-1302
(570) 383-9090
(570) 383-6665
Mailing address
9510 ORMSBY STATION RD, SUITE 101, LOUISVILLE, KY 40223-4081
(502) 753-6004
(502) 753-6104
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
225880
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
225880
PERSONAL CARE HOME LICENSE
PA
Enumeration date
12/22/2014
Last updated
12/22/2014
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