Organization
LACKAWANNA HEALTH CARE CENTER LLC
Active
Other names
Lackawanna Health and Rehab Center
Organization subpart
No
Provider details
NPI number
Authorized official
ELI STROHLI (PRESIDENT)
(305) 864-9191
Entity
Organization
Contact information
Practice address
108 TERRACE DR, OLYPHANT, PA 18447-2503
(570) 489-8611
Mailing address
108 TERRACE DR, OLYPHANT, PA 18447-2503
(570) 489-8611
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39-5414
MEDICARE
PA
Enumeration date
02/16/2010
Last updated
02/16/2010
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