Organization
MOUNTAIN LAUREL OPCO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT KOLMAN LNHA (OPERATOR)
(917) 295-1882
Entity
Organization
Contact information
Practice address
700 LEONARD ST, CLEARFIELD, PA 16830-3245
(814) 765-7545
Mailing address
700 LEONARD ST, CLEARFIELD, PA 16830-3245
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
11/09/2021
Last updated
11/19/2021
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