Organization
GUARDIAN ELDER CARE AT NANTICOKE LLC
Active
Other names
Guardian Healthcare and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL EPERESI (CFO)
(814) 265-1164
Entity
Organization
Contact information
Practice address
147 OLD NEWPORT ST, NANTICOKE, PA 18634-1327
(570) 735-7300
Mailing address
8796 ROUTE 219, BROCKWAY, PA 15824-6010
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
191502
PA
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001932115-0001
—
PA
Enumeration date
05/05/2006
Last updated
08/25/2020
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