Organization
1711 EAST BROAD STREET OPCO LLC
Active
Other names
The Manor at St. Luke Village
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY HOBACK (MANAGER)
(770) 698-9040
Entity
Organization
Contact information
Practice address
1711 E BROAD ST, HAZLETON, PA 18201-5691
(570) 453-5100
(570) 453-5138
Mailing address
1711 E BROAD ST, HAZLETON, PA 18201-5691
(570) 453-5100
(570) 453-5138
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
12/24/2024
Last updated
03/10/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us