Organization
LYCOMING COMMUNITY CARE INC
Active
Other names
Valley View Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN D FRY (CFO)
(570) 433-3161
Entity
Organization
Contact information
Practice address
2140 WARRENSVILLE RD, MONTOURSVILLE, PA 17754-9621
(570) 433-3161
(570) 433-3882
Mailing address
2140 WARRENSVILLE RD, MONTOURSVILLE, PA 17754-9621
(570) 433-3161
(570) 433-3882
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
027602
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014028520001
—
PA
Enumeration date
05/31/2006
Last updated
06/01/2015
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