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Organization

LACKAWANNA COUNTY EMPLOYEES

Active
Other names
Lackawanna County Health Care Center
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JAMES MILLER LNHA (ADMINISTRATOR)
(570) 489-8611
Entity
Organization

Contact information

Practice address
STURGES ROAD, OLYPHANT, PA 18447
(570) 489-8611
(570) 489-5349
Mailing address
STURGES ROAD, OLYPHANT, PA 18447
(570) 489-8611
(570) 489-5349

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
134902
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0007571820003
PA
Enumeration date
09/21/2005
Last updated
06/25/2008
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