Organization
NORTHUMBERLAND COUNTY MOUNTAIN VIEW MANOR NURSING & REHAB CENTER
Active
Other names
Mountain View Manor
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY ANN M CHAKLOS NURSING HOME ADMINIS (ADMINISTRATOR)
(570) 644-4406
Entity
Organization
Contact information
Practice address
2050 TREVORTON RD, COAL TOWNSHIP, PA 17866-9405
(570) 644-4400
(570) 644-4403
Mailing address
2050 TREVORTON RD, COAL TOWNSHIP, PA 17866-9405
(570) 644-4400
(570) 644-4403
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
390302
PA
332BN1400X
Nursing Facility Supplies (DME)
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007378070003
—
PA
Enumeration date
09/16/2005
Last updated
04/20/2010
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