Organization
ELLEN MEMORIAL HEALTH CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT G ZABADY (ADMINISTRATOR)
(570) 253-5690
Entity
Organization
Contact information
Practice address
23 ELLEN MEMORIAL LN, HONESDALE, PA 18431-4096
(570) 253-5690
(570) 253-9471
Mailing address
23 ELLEN MEMORIAL LN, HONESDALE, PA 18431-4096
(570) 253-5690
(570) 253-9471
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
318502
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007554460002
—
PA
05
—
00560132
—
NY
Enumeration date
06/09/2005
Last updated
08/22/2020
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