Organization
BRADFORD COUNTY COMMISSIONERS
Active
Other names
Bradford County Manor Nursing and Rehabilitation Center, Bradford County Manor
Organization subpart
No
Provider details
NPI number
Authorized official
LOUANN SIMPSON NHA (ADMINISTRATOR)
(570) 297-4111
Entity
Organization
Contact information
Practice address
15900 ROUTE 6, TROY, PA 16947-9308
(570) 297-4111
(570) 297-0717
Mailing address
15900 ROUTE 6, TROY, PA 16947-9308
(570) 297-4111
(570) 297-0717
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
022302
PA
332BN1400X
Nursing Facility Supplies (DME)
—
PA
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000072830011
—
PA
Enumeration date
07/01/2006
Last updated
02/25/2020
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