Organization
PENNSYLVANIA LTC INC
Active
Other names
Linwood Nursing and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
JANE DROPESKEY (CORPORATE MANAGER)
(610) 925-4231
Entity
Organization
Contact information
Practice address
100 LYNWOOD AVE, SCRANTON, PA 18505-2868
(570) 346-7381
(570) 346-3761
Mailing address
100 LINWOOD AVE, SCRANTON, PA 18505-2868
(570) 346-7381
(570) 346-3761
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
394502
PA
332BN1400X
Nursing Facility Supplies (DME)
394502
PA
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
394502
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007653650006
—
PA
Enumeration date
03/15/2006
Last updated
03/17/2010
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