Organization
BONETTI HEALTH CARE CENTER, INC
Active
Other names
Autumn Grove Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW R MAURANO NHA (PRESIDENT)
(724) 735-4224
Entity
Organization
Contact information
Practice address
555 S MAIN ST, HARRISVILLE, PA 16038-1623
(724) 735-4224
(724) 735-0103
Mailing address
555 S MAIN ST, HARRISVILLE, PA 16038-1623
(724) 735-4224
(724) 735-0103
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
022102
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007573330003
—
PA
01
—
0569
BLUE CROSS
—
Enumeration date
08/18/2005
Last updated
10/25/2011
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