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Organization

COVILLES PERSONAL CARE HOME

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DOMINICK WILLIAM COVILLE II R.N. (ADMINISTRATOR)
(724) 583-9227
Entity
Organization

Contact information

Practice address
5 S 2ND ST, MASONTOWN, PA 15461-1538
(724) 583-0744
(724) 583-0350
Mailing address
5 SOUTH 2ND ST., MASONTOWN, PA 15461
(724) 583-0744
(724) 583-0350

Taxonomy

Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
424710
PA

Other

Enumeration date
03/17/2008
Last updated
03/17/2008
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