Organization
PRESBYTERIAN HOME OF REDSTONE PRESBYTERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY JOHN REEVES PCA (ADMINISTRATOR)
(814) 255-5539
Entity
Organization
Contact information
Practice address
787 GOUCHER ST, JOHNSTOWN, PA 15905-3028
(814) 255-5539
(814) 254-1809
Mailing address
787 GOUCHER ST, JOHNSTOWN, PA 15905-3028
(814) 255-5539
(814) 254-1809
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
680102
PA
Other
Enumeration date
08/21/2006
Last updated
08/08/2011
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