Organization
VALLEY CREST NURSING , L.P.
Active
Other names
Valley Crest Nursing and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER J LICARI (PRESIDENT OF GENERAL PARTNER)
(215) 441-7700
Entity
Organization
Contact information
Practice address
1551 EAST END BLVD. PLAINS TWP., WILKES BARRE, PA 18711-0575
(570) 826-1011
Mailing address
120 GIBRALTAR ROAD, SUITE 310, HORSHAM, PA 19044-2350
(215) 441-7700
(215) 441-4255
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
220102
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1014868460001
—
PA
Enumeration date
02/07/2006
Last updated
08/22/2020
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