Organization
MID-VALLEY HEALTH CARE CENTER LLC
Active
Other names
Mid-Valley Health Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL P KELLY (MANAGING MEMBER)
(570) 969-2188
Entity
Organization
Contact information
Practice address
81 STURGES RD, PECKVILLE, PA 18452-1302
(570) 383-7320
(570) 383-5152
Mailing address
401 MOLTKE AVE, SUITE 100, SCRANTON, PA 18505-2886
(570) 969-2188
(570) 969-2189
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
027502
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102794713-0001
—
PA
Enumeration date
09/27/2005
Last updated
05/16/2013
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